Individual provider Active NPI

Daniel Henry, DPT

  • Physical Therapist
  • Wake Forest, NC
National Provider Identifier
1619356474
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15583 Issued in NC
Practice address
843 Wake Forest Business Park
Suite 110
Wake Forest, NC 27587-6577
Phone
(919) 570-7080
Fax
(919) 570-7081
NPI assigned
May 27, 2015
Last updated
May 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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 15583 NC Primary

Addresses

Primary practice location

843 Wake Forest Business Park
Suite 110
Wake Forest, NC 27587-6577

Mailing address

843 Wake Forest Business Park
Suite 110
Wake Forest, NC 27587-6577
Phone (919) 570-7080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717001439 NC Practitioner - Physical Therapist in Private Practice 7911210067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craven Physical Therapy and Spine IncGroup PAC ID 0446331433, 7 clinicians

Practice addresses (Care Compare)

2111 K Neuse Blvd
New Bern, NC 28560-4317
Phone (252) 637-5001

Merit-based Incentive Payment System (MIPS)

Final score
23.41 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15583NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Family Chiropractic, PLLC PastSince Nov 8, 2017 Accepting new patients

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1619356474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876577",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876577",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.