Active NPI
William Frederick Daley Jr., PT
- Physical Therapist
- Saco, ME
National Provider Identifier
1538924295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2554
- Practice address
- 100 Harbor Dr
Saco, ME 04072-2173 - Phone
- (207) 283-3646
- NPI assigned
- Feb 20, 2024
- Last updated
- Feb 20, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL9924 | MA | |
| Physical Therapist | 225100000X | PT2554 | ME | Primary |
Addresses
Primary practice location
100 Harbor Dr
Saco, ME 04072-2173
Mailing address
242 Alfred St Apt 3
Biddeford, ME 04005-3245
Phone (207) 838-8166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Soldiers Field Dr
Sugar Land, TX 77479-4085
Phone (713) 853-3996
180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL9924 | MA | MD | Physical Therapist |
| PT2554 | ME | MD | Physical Therapist |
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.
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1538924295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 ALFRED ST APT 3",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040053245",
"telephone_number": "207-838-8166",
"fax_number": "207-838-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HARBOR DR",
"city": "SACO",
"state": "ME",
"postal_code": "040722173",
"telephone_number": "207-283-3646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEY",
"first_name": "WILLIAM",
"middle_name": "FREDERICK",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL9924",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.