Active NPI
Brittany Alison Daley, DPT
- Physical Therapist
- Ponte Vedra Beach, FL
National Provider Identifier
1679831986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27264
- Practice address
- 100 Executive Way
Suite 109
Ponte Vedra Beach, FL 32082-2715 - Phone
- (904) 543-9011
- Fax
- (904) 543-1390
- NPI assigned
- Apr 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27264 | FL | Primary |
Addresses
Primary practice location
100 Executive Way
Suite 109
Ponte Vedra Beach, FL 32082-2715
Mailing address
100 Executive Way
Suite 109
Ponte Vedra Beach, FL 32082-2715
Phone (904) 543-9011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1679831986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EXECUTIVE WAY",
"address_2": "SUITE 109",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320822715",
"telephone_number": "904-543-9011",
"fax_number": "904-543-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EXECUTIVE WAY",
"address_2": "SUITE 109",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320822715",
"telephone_number": "904-543-9011",
"fax_number": "904-543-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEY",
"first_name": "BRITTANY",
"middle_name": "ALISON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.