Individual provider Active NPI

Kelly Danielson, DPT

  • Physical Therapist
  • Aiken, SC
National Provider Identifier
1477916088
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10758 Issued in SC
Practice address
181 Town Creek Rd
Aiken, SC 29803-5841
Phone
(803) 642-0700
Fax
(803) 642-0588
NPI assigned
Mar 31, 2016
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13326-24 WI
Physical Therapist 225100000X 09237R LA
Physical Therapist 225100000X 62 039028 NY
Physical Therapist 225100000X 10758 SC Primary

Addresses

Primary practice location

181 Town Creek Rd
Aiken, SC 29803-5841

Mailing address

181 Town Creek Rd
Aiken, SC 29803-5841
Phone (803) 642-0700

Other practice location 1

4428 Belleflower Cir
Syracuse, NY 13215-9612
Phone (315) 399-3627

Other practice location 2

714 S Lake Dr Ste 150
Lexington, SC 29072-3473
Phone (803) 356-4782

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10758SCMDPharmacist
09237RLAMDPhysical Therapist
62 039028NYMDPhysical Therapist
13326-24WIMDPhysical Therapist
13326WIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy of Aiken, LLC Physical Therapist CurrentSince Jul 4, 2021 Accepting new patients
Pediatric Therapy of Aiken, LLC CurrentSince Dec 13, 2022 Accepting new patients
Apparo Academy, Inc. Past Accepting new patients

Locations

181 Town Creek Rd
Aiken, SC 29803
Phone (803) 642-0700

714 S Lake Dr
Ste 150
Lexington, SC 29072
Phone (803) 356-4782

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1477916088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4428 Belleflower Cir",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132159612",
            "country_code": "US",
            "telephone_number": "315-399-3627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 S Lake Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290723473",
            "country_code": "US",
            "telephone_number": "803-356-4782",
            "fax_number": "803-996-4782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "KELLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13326-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09237R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 039028",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.