Individual provider Active NPI

Daniel Comer, PT

  • Physical Therapist
  • Sheffield Village, OH
National Provider Identifier
1700817624
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-8280 Issued in OH
Practice address
5001 Transportation Dr
Sheffield Village, OH 44054
Phone
(440) 329-2890
Fax
(440) 329-2899
NPI assigned
Jul 6, 2006
Last updated
Aug 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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 PT-8280 OH Primary

Addresses

Primary practice location

5001 Transportation Dr
Sheffield Village, OH 44054

Mailing address

23825 Commerce Park Dr
Suite B
Beachwood, OH 44122
Phone (216) 292-6363

Other identifiers 2

IdentifierTypeStateIssuer
2742518MedicaidOH
P00383584OtherOHMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000281 OH Practitioner - Physical Therapist in Private Practice 7214930643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates, Inc.Group PAC ID 8123915840, 15 clinicians

Practice addresses (Care Compare)

1502 Travelers PT
Avon, OH 44011-4046
Phone (440) 892-1440

24723 Detroit Rd
Westlake, OH 44145-2526
Phone (440) 892-1440

Merit-based Incentive Payment System (MIPS)

Final score
78.34 of 100Reported as group
Quality
59.29
Promoting interoperability
100
Improvement activities
40
Cost
68.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-8280OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates, Inc CurrentSince May 1, 2007 Accepting new patients
Orthopaedic Associates, Inc CurrentSince May 1, 2007 Accepting new patients
Orthopaedic Associates, Inc. Past Accepting new patients

Locations

1502 Travelers Pt
Avon, OH 44011
Phone (440) 892-1440

24723 Detroit Rd
Westlake, OH 44145
Phone (440) 892-1440

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, 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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1700817624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23825 COMMERCE PARK DR",
            "address_2": "SUITE B",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-292-6363",
            "fax_number": "216-292-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 TRANSPORTATION DR",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44054",
            "telephone_number": "440-329-2890",
            "fax_number": "440-329-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMER",
        "first_name": "DANIEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-8280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2742518",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00383584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.