Individual provider Active NPI

Joesph Daniel, PT, DPT

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1538825260
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008447 Issued in KY
Practice address
542 Three Springs Rd
Bowling Green, KY 42104-7589
Phone
(270) 781-1151
NPI assigned
Nov 17, 2021
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008447 KY Primary

Addresses

Primary practice location

542 Three Springs Rd
Bowling Green, KY 42104-7589

Mailing address

2235 Russellville Rd
Bowling Green, KY 42101-5081
Phone (270) 781-1151

Other practice location 1

2235 Russellville Rd
Bowling Green, KY 42101-5081
Phone (270) 781-1151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216001635 KY Practitioner - Physical Therapist in Private Practice 5193116697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Fitness Connection,PLLCGroup PAC ID 5890609788, 3 clinicians
TFC Physical Therapy, PLLCGroup PAC ID 0244324408, 3 clinicians

Practice addresses (Care Compare)

2235 Russellville Rd
Bowling Green, KY 42101-5081
Phone (270) 781-1151

542 Three Springs Rd
Bowling Green, KY 42104-7589
Phone (270) 782-3503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008447KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TFC Physical Therapy, PLLC CurrentSince Nov 18, 2021 Accepting new patients
Total Fitness Connection,PLLC CurrentSince Nov 24, 2021 Accepting new patients

Locations

2235 Russellville Rd
Bowling Green, KY 42101
Phone (270) 781-1151

542 Three Springs Rd
Bowling Green, KY 42104
Phone (270) 781-1151

Organizations & group practices 2

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1538825260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 RUSSELLVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421015081",
            "telephone_number": "270-781-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 THREE SPRINGS RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047589",
            "telephone_number": "270-781-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 Russellville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421015081",
            "country_code": "US",
            "telephone_number": "270-781-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JOESPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.

Verify at the official NPI Registry.