Jessica Ward McDaniel

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2736 Issued in SC

Practice address

1918 Wilmore Walk Dr
Charlotte
Charlotte, NC 28203-4531

Phone

(843) 450-7699

NPI assigned

Feb 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1568735751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 SUSSEX AVE",
            "address_2": "CHARLOTTE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106255",
            "telephone_number": "843-450-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 WILMORE WALK DR",
            "address_2": "CHARLOTTE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034531",
            "telephone_number": "843-450-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JESSICA",
        "middle_name": "WARD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria McDaniel-Massey, LPN
• Ashley V. McDaniel, FNP
• Danielle McDaniel, OTR/L
• Deborah Ann McDaniel, FNP-C
• Jennifer Nicole McDaniel, LCSW-A
• Madison McDaniel, LCSW
• Sierra McDaniel
• Tara Virginia McDaniel, M.A.
• Makayla McDaris
• Stirling Douglas McDavid, NP

• Physical Therapy Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.