Individual provider Active NPI

Douglas Daniels

  • Physical Therapist
  • Waynesboro, VA
National Provider Identifier
1679320741
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
100 Community Dr # B
Waynesboro, VA 22980-9505
Phone
(540) 932-0333
NPI assigned
May 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305216629 VA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

100 Community Dr # B
Waynesboro, VA 22980-9505

Mailing address

100 Community Dr # B
Waynesboro, VA 22980-9505
Phone (540) 932-0333

Other practice location 1

2275 Beech Ave
Buena Vista, VA 24416-3101
Phone (540) 446-1000

Other practice location 2

1561 Commerce Rd Ste 402
Verona, VA 24482-9701
Phone (540) 416-0530

Other names 1

  • Douglas Barnes Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105000872 VA Practitioner - Physical Therapist in Private Practice 0244764835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

100 Community Dr
Suite B
Waynesboro, VA 22980-9505
Phone (540) 932-0333

29 Cedar Plateau Way
Daleville, VA 24083-1119
Phone (540) 591-6060

38 Ebco Cir
Waynesboro, VA 22980-7344
Phone (540) 591-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

1561 Commerce Rd
#402
Verona, VA 24482
Phone (540) 416-0110

100 Community Dr
#B
Waynesboro, VA 22980
Phone (540) 932-0333

Organizations & group practices 3

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1679320741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMUNITY DR # B",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229809505",
            "telephone_number": "540-932-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMUNITY DR # B",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229809505",
            "telephone_number": "540-932-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 Beech Ave",
            "address_purpose": "LOCATION",
            "city": "Buena Vista",
            "state": "VA",
            "postal_code": "244163101",
            "country_code": "US",
            "telephone_number": "540-446-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1561 Commerce Rd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "VA",
            "postal_code": "244829701",
            "country_code": "US",
            "telephone_number": "540-416-0530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216629",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "BARNES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.