Active NPI
Daniel Seubert, PT, DPT, CERT. DN
- Orthopedic Physical Therapist
- Baltimore, MD
National Provider Identifier
1417323833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 27095
- Practice address
- 8520 Drumwood Rd
Baltimore, MD 21286 - Phone
- (443) 629-9750
- NPI assigned
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 27095 | MD | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 11736 | AZ |
Addresses
Primary practice location
8520 Drumwood Rd
Baltimore, MD 21286
Mailing address
8520 Drumwood Rd
Baltimore, MD 21286-5906
Phone (443) 629-9750
Other practice location 1
42201 N 41st Dr Ste 168
Anthem, AZ 85086-3803
Phone (480) 744-4272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043380918 | Other | AZ | ORGANIZATIONS NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1826 E Platte Ave
Suite 114
Colorado Springs, CO 80909-5738
Phone (719) 645-5052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11736 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthem Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Theraphy LLC | Current | Accepting new patients |
Locations
1826 E Platte Ave
Ste 114
Colorado Springs, CO 80909
Phone (719) 645-5052
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Colorado Springs, CO
- NPI 1205474657
Physical Therapist
-
- Physical Therapy Clinic/Center
- Baltimore, MD
- NPI 1528547122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1417323833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8520 DRUMWOOD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212865906",
"telephone_number": "443-629-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8520 DRUMWOOD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21286",
"telephone_number": "443-629-9750"
}
],
"practiceLocations": [
{
"address_1": "42201 N 41st Dr Ste 168",
"address_purpose": "LOCATION",
"city": "Anthem",
"state": "AZ",
"postal_code": "850863803",
"country_code": "US",
"telephone_number": "480-744-4272",
"fax_number": "623-748-3778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEUBERT",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PT, DPT, CERT. DN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "27095",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "11736",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATIONS NPI",
"identifier": "1043380918",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.