Individual provider Active NPI

Daniel McLean Barclay, DPT

  • Physical Therapist
  • Pocatello, ID
National Provider Identifier
1376752279
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4141 Pole Line Road
Ste a
Pocatello, ID 83202-4904
Phone
(208) 242-8617
Fax
(833) 608-2470
NPI assigned
May 21, 2007
Last updated
May 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4141 Pole Line Road
Ste a
Pocatello, ID 83202-4904

Mailing address

4141 Pole Line Road
Ste a
Pocatello, ID 83202-4904
Phone (208) 242-8617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514002274 ID Practitioner - Physical Therapist in Private Practice 6800150160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadowland Therapy IncGroup PAC ID 1254518640, 4 clinicians

Practice addresses (Care Compare)

1033 W Quinn Rd
Pocatello, ID 83202-2425
Phone (208) 233-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Rehab LLC Physical Therapist CurrentSince May 1, 2018 Accepting new patients
Meadowland Therapy Inc Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Physio Therapeutics, PLLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients

Locations

1033 W Quinn Rd
Pocatello, ID 83202
Phone (208) 233-4800

265 E Chubbuck Rd
Ste A
Pocatello, ID 83202
Phone (208) 237-1711

4141 Poleline Rd
Ste A
Pocatello, ID 83202
Phone (208) 242-8617

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1376752279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 POLE LINE ROAD",
            "address_2": "STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832024904",
            "telephone_number": "208-242-8617",
            "fax_number": "833-608-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 POLE LINE ROAD",
            "address_2": "STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832024904",
            "telephone_number": "208-242-8617",
            "fax_number": "833-608-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "DANIEL",
        "middle_name": "MCLEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.