Daniel A Durham, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08856 Issued in OH

Practice address

15765 State Route 170
East Liverpool, OH 43920-9070

Phone

(330) 386-5252

Fax

(330) 386-3555

NPI assigned

Jun 21, 2005

Last updated

Jan 26, 2010By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy and Occupational Rehabilitation IncGroup PAC ID 1850385519, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy and Occupational Rehabilitation Inc

  dba Infinity Physical Therapy

  • Physical Therapy Clinic/Center
  • East Liverpool, OH
  • NPI 1265521025
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1417953944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 YAKOTA DORA DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445114431",
            "telephone_number": "330-318-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15765 STATE ROUTE 170",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209070",
            "telephone_number": "330-386-5252",
            "fax_number": "330-386-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "08856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2516290",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000327438",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "1064339",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK COMMERICAL INS",
            "identifier": "542145984",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Bruce P Gibbs, Inc
• Dr. Ronald L. Detwiler, O.D. Inc.
• Julia Dubaj, DO
• Michelle Dudick
• Amy Dunlap
• E L Sleep Corp (Greater Tri State Sleep Center)
• Shanna M Earley, P.A.-C
• East Liverpool Anesthesia Associates LLC
• East Liverpool Anesthesia Professionals
• East Liverpool Board of Education

• Physical Therapist in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.