Active NPI
Daniel Arthur Churches, P.T.
- Physical Therapist
- Olympia, WA
National Provider Identifier
1639178361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00005833
- Practice address
- 3901 Capital Mall Dr SW
Ste D
Olympia, WA 98502-8654 - Phone
- (360) 709-6221
- Fax
- (360) 359-4727
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00005833 | WA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT00005833 WA | WA | |
| Sports Physical Therapist | 2251S0007X | PT00005833 WA | WA |
Addresses
Primary practice location
3901 Capital Mall Dr SW
Ste D
Olympia, WA 98502-8654
Mailing address
PO Box 368
Olympia, WA 98507-0368
Phone (360) 709-6221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Utah School of Medicine, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2634 Bethel St NE
Olympia, WA 98506-2845
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.86 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00005833 | WA | MD | Physical Therapist |
| PT00005833 WA | WA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia Physical Therapy & Industrial Rehabilitation, Inc. | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Olympia, WA
- NPI 1083785398
-
- Physical Therapist
- Tumwater, WA
- NPI 1174562953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1639178361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985070368",
"telephone_number": "360-709-6221",
"fax_number": "360-359-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CAPITAL MALL DR SW",
"address_2": "STE D",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028654",
"telephone_number": "360-709-6221",
"fax_number": "360-359-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCHES",
"first_name": "DANIEL",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00005833",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "PT00005833 WA",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "WA",
"license": "PT00005833 WA",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.