Individual provider Active NPI

Daniel S Myers, P.T.

  • Physical Therapist
  • Kinnelon, NJ
National Provider Identifier
1447325592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QAO3671 Issued in NJ
Practice address
17 Kiel Ave
Kinnelon, NJ 07405-1706
Phone
(973) 838-3733
Fax
(973) 492-5822
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 QAO3671 NJ Primary

Addresses

Primary practice location

17 Kiel Ave
Kinnelon, NJ 07405-1706

Mailing address

17 Kiel Ave
Kinnelon, NJ 07405-1706
Phone (973) 838-3733

Other identifiers 1

IdentifierTypeStateIssuer
223409948OtherNJTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110428000318 NJ Practitioner - Physical Therapist in Private Practice 6305021767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

95 Madison Ave
Suite A11
Morristown, NJ 07960-6092
Phone (973) 435-0066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QAO3671NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinnelon Physical Therapy Inc Physical Therapist CurrentSince Feb 9, 2011 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients

Locations

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

95 Madison Ave
Ste A11
Morristown, NJ 07960
Phone (973) 435-0066

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447325592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KIEL AVE",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074051706",
            "telephone_number": "973-838-3733",
            "fax_number": "973-492-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 KIEL AVE",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074051706",
            "telephone_number": "973-838-3733",
            "fax_number": "973-492-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "DANIEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QAO3671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223409948",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.