Individual provider Active NPI

Daniel Seubert, PT, DPT, CERT. DN

  • Orthopedic Physical Therapist
  • Baltimore, MD
National Provider Identifier
1417323833
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
27095 Issued in MD
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

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1043380918OtherAZORGANIZATIONS NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221001003 CO Practitioner - Physical Therapist in Private Practice 7911213988 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
11736AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anthem Physical Therapy LLC Physical Therapist CurrentSince Feb 3, 2020 Accepting new patients
Theraphy LLC CurrentSince Aug 1, 2018 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.

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.

Verify at the official NPI Registry.