Individual provider Active NPI

Daniel Gam, DPT

  • Physical Therapist
  • Lilburn, GA
National Provider Identifier
1447515077
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4153 Lawrenceville Hwy NW Ste 11
Lilburn, GA 30047-2854
Phone
(770) 931-8686
NPI assigned
Jul 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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 GA Primary

Addresses

Primary practice location

4153 Lawrenceville Hwy NW Ste 11
Lilburn, GA 30047-2854

Mailing address

4153 Lawrenceville Hwy NW Ste 11
Lilburn, GA 30047-2854
Phone (770) 931-8686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200309002618 WA Practitioner - Physical Therapist in Private Practice 7719315514 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1000

121 112TH Ave NE
Bellevue, WA 98004-5807
Phone (425) 384-4257

800 5TH Ave
Suite P100
Seattle, WA 98104-3176
Phone (206) 320-3351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Current Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Apr 6, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Apr 6, 2025 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Feb 17, 2020 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Swedish Health Services Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Feb 17, 2020 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 29, 2021 Accepting new patients
Matrix Rehabilitation-Georgia Inc Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

13555 SE 36th St
Ste 100
Bellevue, WA 98006

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

Organizations & group practices 10

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1447515077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 LAWRENCEVILLE HWY NW STE 11",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472854",
            "telephone_number": "770-931-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 LAWRENCEVILLE HWY NW STE 11",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472854",
            "telephone_number": "770-931-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAM",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.