Daniel G Kingsley, PT, OCS, COMT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020163 Issued in NY

Practice address

1398 Route 5 W
Chittenango, NY 13037

Phone

(315) 510-3372

Fax

(315) 510-3688

NPI assigned

Feb 9, 2006

Last updated

Aug 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

34.44 of 100Reported as individual

Quality

33.33

Improvement activities

0

Cost

70.37

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  Medicare reassignment Care Compare group NPD
• Chittenango Physical Therapy, P.C.

  • Physical Therapist
  • Chittenango, NY
  • NPI 1477782589
  Medicare reassignment NPD

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1619940756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 ROUTE 5 W",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "13037",
            "telephone_number": "315-510-3372",
            "fax_number": "315-510-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 ROUTE 5 W",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "13037",
            "telephone_number": "315-510-3372",
            "fax_number": "315-510-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "DANIEL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PT, OCS, COMT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020163",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "020163",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "020163",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11324752",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00959640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Joseph Imboden, MD
• Charles Louis Ingerson, R.N.
• John Jackson
• Tiffany Nicole Jackson, LMHC
• Whitney King
• KPH Healthcare Services, Inc. (Kinney Drugs #46)
• Kudos Medical PLLC
• Erika C Lambert, MD
• Sean Laubenstein, DPT
• Cara E Lavier, FNP

• Physical Therapist in Chittenango, NY
• Providers in Chittenango, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.