Individual provider Active NPI

D'Jsha Monique Daniels, PT

  • Physical Therapist
  • Roanoke Rapids, NC
National Provider Identifier
1629725486
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21028 Issued in NC
Practice address
310 Roanoke Ave
Roanoke Rapids, NC 27870-1918
Phone
(252) 541-1941
Fax
(866) 521-3780
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 P21028 NC Primary

Addresses

Primary practice location

310 Roanoke Ave
Roanoke Rapids, NC 27870-1918

Mailing address

310 Roanoke Ave
Roanoke Rapids, NC 27870-1918
Phone (252) 541-1941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609000254 NC Practitioner - Physical Therapist in Private Practice 2466847165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Campbell Univ School of Osteopathic Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

310 Roanoke Ave
Roanoke Rapids, NC 27870-1918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P21028NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dfender Physical Therapy, LLC CurrentSince May 1, 2026 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

310 Roanoke Ave
Roanoke Rapids, NC 27870
Phone (252) 541-1941

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1629725486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 ROANOKE AVE",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278701918",
            "telephone_number": "252-541-1941",
            "fax_number": "866-521-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ROANOKE AVE",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278701918",
            "telephone_number": "252-541-1941",
            "fax_number": "866-521-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "D'JSHA",
        "middle_name": "MONIQUE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.