Active NPI
Daniel Duvall, DPT
- Physical Therapist
- Crownsville, MD
National Provider Identifier
1457819302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25943
- Practice address
- 1454 Fairfield Loop Rd
Crownsville, MD 21032-2006 - Phone
- (410) 923-6820
- NPI assigned
- Mar 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25943 | MD | Primary |
Addresses
Primary practice location
1454 Fairfield Loop Rd
Crownsville, MD 21032-2006
Mailing address
248 Seneca Ter
Pasadena, MD 21122-3835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25943 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1457819302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 SENECA TER",
"city": "PASADENA",
"state": "MD",
"postal_code": "211223835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 FAIRFIELD LOOP RD",
"city": "CROWNSVILLE",
"state": "MD",
"postal_code": "210322006",
"telephone_number": "410-923-6820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVALL",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-11",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crownsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.