Active NPI
Daniel P McGrane, MPT
- Physical Therapist
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03657
- Practice address
- 40 Brookeridge Dr
Waterloo, IA 50701-5214 - Phone
- (319) 232-2100
- Fax
- (319) 232-6389
- NPI assigned
- Mar 7, 2008
- Last updated
- Jul 21, 2022
- 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 | 03657 | IA | Primary |
Addresses
Primary practice location
40 Brookeridge Dr
Waterloo, IA 50701-5214
Mailing address
40 Brookeridge Dr
Waterloo, IA 50701-5214
Phone (319) 232-2100
Other practice location 1
1104 220th St
Jesup, IA 50648-9425
Phone (319) 827-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Brookeridge Dr
Waterloo, IA 50701-5214
Phone (319) 232-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03657 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Chiropractic Centers, PC | Current | Accepting new patients | |
| Eastern Iowa Therapeutics PC | Physical Therapist | Past | Accepting new patients |
| Rottinghaus Chiropractic Centers | Past | Accepting new patients |
Locations
1104 220th St
Jesup, IA 50648
Phone (319) 232-2100
40 Brookeridge Dr
Waterloo, IA 50701
Phone (319) 232-2100
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.
-
- Chiropractor
- Waterloo, IA
- NPI 1982968152
-
dba Jesup Chiropractic Clinic
- Chiropractor
- Jesup, IA
- NPI 1619186616
-
dba Accelerated Rehabilitation Centers
- Physical Therapist
- Chicago, IL
- NPI 1023064144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1528238342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BROOKERIDGE DR",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507015214",
"telephone_number": "319-232-2100",
"fax_number": "319-232-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BROOKERIDGE DR",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507015214",
"telephone_number": "319-232-2100",
"fax_number": "319-232-6389"
}
],
"practiceLocations": [
{
"address_1": "1104 220th St",
"address_purpose": "LOCATION",
"city": "Jesup",
"state": "IA",
"postal_code": "506489425",
"country_code": "US",
"telephone_number": "319-827-2223",
"fax_number": "319-827-2275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGRANE",
"first_name": "DANIEL",
"middle_name": "P",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.