Individual provider Active NPI

Daniel Dubosky Thomas, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1568186245
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21537 Issued in NC
Practice address
2031 Smallwood Dr
Raleigh, NC 27605-1334
Phone
(919) 301-8267
Fax
(919) 758-8266
NPI assigned
Sep 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 P21537 NC Primary

Addresses

Primary practice location

2031 Smallwood Dr
Raleigh, NC 27605-1334

Mailing address

906 Mebane Oaks Rd
Mebane, NC 27302-7951
Phone (919) 563-1825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620001377 NC Practitioner - Physical Therapist in Private Practice 4981062239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and More Physical Therapy IncGroup PAC ID 4385618594, 13 clinicians

Practice addresses (Care Compare)

502 McKnight Dr
Suite 103
Knightdale, NC 27545-7050
Phone (919) 217-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Physical Therapy of Rowan County, Inc. CurrentSince May 2, 2023 Accepting new patients
Sports & More Physical Therapy, Inc. Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients

Locations

502 McKnight Dr
Ste 103
Knightdale, NC 27545
Phone (919) 217-8885

906 Mebane Oaks Rd
Mebane, NC 27302
Phone (919) 563-1133

8300 Health Park
Ste 127
Raleigh, NC 27615
Phone (919) 845-6160

2031 Smallwood Dr
Raleigh, NC 27605
Phone (919) 301-8267

1704 W Innes St
Salisbury, NC 28144
Phone (704) 633-4606

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1568186245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MEBANE OAKS RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027951",
            "telephone_number": "919-563-1825",
            "fax_number": "919-563-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 SMALLWOOD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051334",
            "telephone_number": "919-301-8267",
            "fax_number": "919-758-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DANIEL",
        "middle_name": "DUBOSKY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.