Daniel James Gardner, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19961 Issued in MD

Practice address

801 Toll House Ave Ste H3
Frederick, MD 21701-6117

Phone

(240) 575-9260

Fax

(240) 575-9380

NPI assigned

Jan 5, 2007

Last updated

Jul 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Red Canyon, LLC

  dba Red Canyon Physical Therapy

  • Physical Therapy Clinic/Center
  • Columbia, MD
  • NPI 1366007338
  Authorized official Same address or phone
• Red Canyon, LLC

  dba Red Canyon Physical Therapy

  • Physical Therapy Clinic/Center
  • Owings Mills, MD
  • NPI 1609431675
  Authorized official Same address or phone
• Red Canyon, LLC

  • Physical Therapist
  • Frederick, MD
  • NPI 1952768673
  Authorized official Same address or phone
• Realtox Labs, LLC

  • Clinical Medical Laboratory
  • Reisterstown, MD
  • NPI 1235533779
  NPD
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467590400000",
    "number": "1457408940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TOLL HOUSE AVE STE H3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016117",
            "telephone_number": "240-575-9260",
            "fax_number": "240-575-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TOLL HOUSE AVE STE H3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016117",
            "telephone_number": "240-575-9260",
            "fax_number": "240-575-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "J1130001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY OF DEL",
            "identifier": "191023",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "KCY2",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Marie Gantt, CRNP PMH
• Jie Gao, M.D.
• Jenny Garcia Castaneda, MD, MPH
• Javier Garcia
• Jeannette Garcia, NP
• Paige Lee Gardner, M.A., CCC-SLP
• Seth Gardner, SLP
• Ishan Garg, DO
• Alexis Pearl Garguilo, M.S., CCC-SLP
• Amanda Garner, LCSW-C

• Physical Therapist in Frederick, MD
• Providers in Frederick, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; 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.