Individual provider Active NPI

Daniel Millar, PT, DPT

  • Pediatric Physical Therapist
  • Kent, WA
National Provider Identifier
1316403074
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT61389435 Issued in WA
Practice address
10811 SE Kent Kangley Rd
Kent, WA 98030-7108
Phone
(253) 854-5660
Fax
(253) 854-7025
NPI assigned
Feb 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 300182 CA
Pediatric Physical Therapist 2251P0200X PT61389435 WA Primary
Pediatric Physical Therapist 2251P0200X 1315122 TX

Addresses

Primary practice location

10811 SE Kent Kangley Rd
Kent, WA 98030-7108

Mailing address

10811 SE Kent Kangley Rd
Kent, WA 98030-7108
Phone (253) 854-5660

Other practice location 1

810 Lawrence Dr Ste 100
Newbury Park, CA 91320-6615
Phone (805) 667-8200

Other practice location 2

1857 Knoll Dr
Ventura, CA 93003-7321
Phone (805) 667-8200

Other practice location 3

10839 Quarry Park
San Antonio, TX 78233-4681
Phone (844) 206-4512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
300182CAMDPediatric Physical Therapist
1315122TXMDPediatric Physical Therapist
PT61389435WAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Therapy Network, Inc. Pediatrics CurrentSince Jul 1, 2021 Accepting new patients

Locations

810 Lawrence Dr
Ste 100
Newbury Park, CA 91320
Phone (805) 273-3870

1857 Knoll Dr
Ventura, CA 93003
Phone (805) 667-8200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1316403074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307108",
            "telephone_number": "253-854-5660",
            "fax_number": "253-854-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307108",
            "telephone_number": "253-854-5660",
            "fax_number": "253-854-7025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Lawrence Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newbury Park",
            "state": "CA",
            "postal_code": "913206615",
            "country_code": "US",
            "telephone_number": "805-667-8200",
            "fax_number": "805-667-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1857 Knoll Dr",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930037321",
            "country_code": "US",
            "telephone_number": "805-667-8200",
            "fax_number": "805-667-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10839 Quarry Park",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782334681",
            "country_code": "US",
            "telephone_number": "844-206-4512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLAR",
        "first_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "300182",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WA",
            "license": "PT61389435",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1315122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.