Individual provider Active NPI

Charles-Maryse Daniel, DPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1558874602
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014733 Issued in DE
Practice address
3567 Silverside Raod
Wilmington, DE 19810
Phone
(302) 529-1911
Fax
(302) 529-1916
NPI assigned
Nov 13, 2017
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026502 PA
Physical Therapist 225100000X J1-0014733 DE Primary

Addresses

Primary practice location

3567 Silverside Raod
Wilmington, DE 19810

Mailing address

447 Anderson St
Coatesville, PA 19320-6615

Other practice location 1

100 Presidential Blvd
Bala Cynwyd, PA 19004-1108
Phone (610) 668-0904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200819000736 PA Practitioner - Physical Therapist in Private Practice 8123444338 Reassigns benefits to 1 organization
I20231113001375 DE Practitioner - Physical Therapist in Private Practice 8123444338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians
Blue Hen Physical Therapy IncGroup PAC ID 0446160790, 7 clinicians

Practice addresses (Care Compare)

2401 Pennsylvania Ave
Wilmington, DE 19806-1401
Phone (302) 655-5877

2647 Pulaski Hwy
Newark, DE 19702-3909
Phone (302) 496-0069

320 Grove LN
Newark, DE 19711-5494
Phone (302) 565-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT026502PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc CurrentSince Jun 21, 2020 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2023 Accepting new patients
Rehabclinics SPT Inc Physical Therapist CurrentSince Jan 7, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2023 Accepting new patients
Physiotherapy Associates, Inc. Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jun 21, 2020 Accepting new patients

Locations

256 Foxhunt Dr
Bear, DE 19701
Phone (302) 834-8650

2401 Pennsylvania Ave
Ste 111
Wilmington, DE 19806
Phone (302) 655-5877

2401 Pennsylvania Ave
Ste 112
Wilmington, DE 19806
Phone (302) 655-5877

3567 Silverside Rd
Wilmington, DE 19810
Phone (302) 453-1588

100 Presidential Blvd
Bala Cynwyd, PA 19004
Phone (610) 246-2786

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

Organizations & group practices 8

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1558874602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 ANDERSON ST",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193206615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 SILVERSIDE RAOD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19810",
            "telephone_number": "302-529-1911",
            "fax_number": "302-529-1916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Presidential Blvd",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041108",
            "country_code": "US",
            "telephone_number": "610-668-0904",
            "fax_number": "610-668-0668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "CHARLES-MARYSE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026502",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.