Daniel A Light, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37573 Issued in FL

Practice address

6290 N Federal Hwy
Fort Lauderdale, FL 33308-1917

Phone

(954) 302-8746

NPI assigned

Aug 17, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Total Healthcare IncGroup PAC ID 8022058346, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Premier Total Healthcare Inc

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1508969536
  Medicare reassignment Care Compare group NPD
• Strongbodyrx

  • Clinic/Center
  • Davie, FL
  • NPI 1770443434
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1326714734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 WHITEHALL DR APT 304",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246637",
            "telephone_number": "954-661-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081917",
            "telephone_number": "954-302-8746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 E Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333042809",
            "country_code": "US",
            "telephone_number": "954-245-0697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeline Medical Supply, Inc
• Lifestyle by Design
• Lifestyle by Design, LLC
• Light Angels Behavioral Therapy Inc
• Light of Life, Inc.
• Luther Light, MS, MBA, DDS
• Lighthouse Crew
• Lighthouse of Broward County, Inc.
• Shara Ligonde, LMHC
• Joshua James Lim, DO

• Physical Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.