Amanda Daniel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019709 Issued in OH

Practice address

8375 Freedom Crossing Rd Unit J
Columbus, OH 43235

Phone

(859) 806-2502

NPI assigned

Jan 22, 2018

Reactivated

Sep 27, 2022

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1700394921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 FREEDOM CROSSING RD UNIT J",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351536",
            "telephone_number": "859-806-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 FREEDOM CROSSING RD UNIT J",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "859-806-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3973 Wyndham Rdg",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405141158",
            "country_code": "US",
            "telephone_number": "859-806-2502",
            "fax_number": "859-806-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "deactivation_date": "2022-09-01",
        "reactivation_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019709",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trung G Dang
• Matthew Edwin Dangel, MD
• Selvin Theodore Jayanth Daniel Ezhilarasu, MD
• Daniel Funk Psychiatric Mental Health Nurse Practitioner (Headway Telepsychriatry)
• Daniel L Phalen PHD Inc
• Amy L Daniel
• George Daniel
• Jessica Daniel, MPT
• Jocelyn Renee Daniel, OD
• Kerestin Lynn Daniel, L.P.N.

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.