Individual provider Active NPI

Brittany Alison Daley, DPT

  • Physical Therapist
  • Ponte Vedra Beach, FL
National Provider Identifier
1679831986
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27264 Issued in FL
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

Updated by the provider on Apr 25, 2012

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 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.

Verify at the official NPI Registry.