Shawn David Daniel, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013644 Issued in GA

Practice address

3007 Panola Rd Ste C
Lithonia, GA 30038-2492

Phone

(470) 686-4224

NPI assigned

Aug 30, 2018

Last updated

Sep 21, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Mobile Athlete LLC

  • Physical Therapy Clinic/Center
  • Roswell, GA
  • NPI 1477224467
  NPD

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1447732037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUSINESS CENTER DR STE 218",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 PANOLA RD STE C",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382492",
            "telephone_number": "470-686-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SHAWN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amani Janee Cuyler
• D & G Wellness, LLC
• Veronica D'Antignac
• Da'Berries Etc
• Nichola Daley, LPC
• Darling Suites LLC (Darling Suites Home Healthcare)
• Kizzel David
• Anderlon Davis
• Annissia C. Davis, SLP
• Denise Davis

• Physical Therapist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.