Individual provider Active NPI

Daniel Harrison, PT, DPT

  • Physical Therapist
  • Little Silver, NJ
National Provider Identifier
1649158049
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02346400 Issued in NJ
Practice address
160 White Rd Ste 104
Little Silver, NJ 07739-1167
Phone
(732) 383-8295
NPI assigned
Aug 25, 2025
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 40QA02346400 NJ Primary

Addresses

Primary practice location

160 White Rd Ste 104
Little Silver, NJ 07739-1167

Mailing address

30 Meadow PL
Freehold, NJ 07728-8145
Phone (732) 939-2567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120000147 NJ Practitioner - Physical Therapist in Private Practice 2466944228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

160 White Rd
Suite 104
Little Silver, NJ 07739-1167

700 W 5TH St
Clare, MI 48617-9414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02346400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Physical Therapy & Sports Care LLC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Proactive Sports Care and Rehabilitation,PC Physical Therapist CurrentSince Sep 3, 2025 Accepting new patients

Locations

160 White Rd
Ste 104
Little Silver, NJ 07739
Phone (732) 383-8295

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": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1649158049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEADOW PL",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288145",
            "telephone_number": "732-939-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WHITE RD STE 104",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391167",
            "telephone_number": "732-383-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02346400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.