Peter Bishop McDaniel, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT254 Issued in ME

Practice address

272 Congress St
Portland, ME 04101-3637

Phone

(120) 777-6427

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346375524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GOULD RD",
            "city": "LISBON FALLS",
            "state": "ME",
            "postal_code": "042529761",
            "telephone_number": "120-777-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013637",
            "telephone_number": "120-777-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "PETER",
        "middle_name": "BISHOP",
        "credential": "ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan A McCrossin, PA
• Alison Reuter McCue, REGISTERED NURSE
• Janet D McCulley, D.O.
• Kaitlyn McCune, MD
• Robert Jeffrey McCusker, DO
• Jessica Ellen McDermott, M.D.
• Frances Catherine McDonald, ANP
• Lea McDonald, M.S.
• Maura Ann McDonald, FNP
• Rita Elaine McDonough, PHYSICAL THERAPIST

• Athletic Trainer in Portland, ME
• Providers in Portland, ME by specialty
• Athletic Trainer in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.