Daniel Patrick McKillop, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60645008 Issued in WA

Practice address

510 8TH Ave NE
Suite 340
Issaquah, WA 98029-5436

Phone

(425) 313-3055

Fax

(425) 313-3051

NPI assigned

Sep 27, 2016

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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Rehabilitation Associates, PLLCGroup PAC ID 8325937642, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Summit Rehabilitation Associates, PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1467571513
  Medicare reassignment Care Compare group NPD
• Summit Rehab Valley Corporation

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1932243425
  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1346799772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E 2ND AVE",
            "address_2": "STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021428",
            "telephone_number": "509-455-6002",
            "fax_number": "509-747-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE",
            "address_2": "SUITE 340",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295436",
            "telephone_number": "425-313-3055",
            "fax_number": "425-313-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKILLOP",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60645008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merissa Jean McEwan
• Lindsey Nicole McFerran, MSW, LSWAA
• Janeen McGuire Nelson, MFT
• Jamie Renae McIntosh
• Daniel Christopher McKenzie, M.S. LMFT, MHP
• Elizabeth Jade McKim
• Carly Ann McLenegan, MSW
• Kimberly Paige McMartin, LMHC
• Thomas Downing Meacham, M.D.
• Meadow Creek Family Medicine

• Physical Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.