Individual provider Active NPI

Daniel Cody Carmack, DPT

  • Physical Therapist
  • Asheville, NC
National Provider Identifier
1649648213
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
554 Riverside Dr Ste C
Asheville, NC 28801-2108
Phone
(828) 407-0368
NPI assigned
Sep 12, 2015
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 NU Primary

Addresses

Primary practice location

554 Riverside Dr Ste C
Asheville, NC 28801-2108

Mailing address

18 Newbridge Pkwy Unit 402
Woodfin, NC 28804-0110
Phone (828) 407-0368

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230406002894 NC Practitioner - Physical Therapist in Private Practice 2163723552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breakthrough Performance and Wellness LLCGroup PAC ID 6305210550, 4 clinicians

Practice addresses (Care Compare)

752 Biltmore Ave
Asheville, NC 28803-2558
Phone (828) 407-0368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Performance and Wellness, LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Benchmark Physical Therapy, Inc PastSince Oct 5, 2015 Accepting new patients

Locations

554 Riverside Dr
Ste C
Asheville, NC 28801
Phone (828) 407-0368

752 Biltmore Ave
Asheville, NC 28803
Phone (828) 251-0094

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": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1649648213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NEWBRIDGE PKWY UNIT 402",
            "city": "WOODFIN",
            "state": "NC",
            "postal_code": "288040110",
            "telephone_number": "828-407-0368",
            "fax_number": "828-589-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 RIVERSIDE DR STE C",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012108",
            "telephone_number": "828-407-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMACK",
        "first_name": "DANIEL",
        "middle_name": "CODY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-12",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.