Individual provider Active NPI

Daniel Kammire, PT, DPT, MS

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1710605191
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11320 Issued in SC
Practice address
900 Johnnie Dodds Blvd Ste 100
Mount Pleasant, SC 29464-6130
Phone
(843) 606-1490
NPI assigned
Aug 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 11320 SC Primary

Addresses

Primary practice location

900 Johnnie Dodds Blvd Ste 100
Mount Pleasant, SC 29464-6130

Mailing address

900 Johnnie Dodds Blvd Ste 100
Mount Pleasant, SC 29464-6130
Phone (843) 606-1490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109000583 SC Practitioner - Physical Therapist in Private Practice 5395115356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Carolina School of Medicine, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Atlas Physical Therapy of Mount Pleasant, IncGroup PAC ID 9032392824, 2 clinicians

Practice addresses (Care Compare)

900 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-6130
Phone (843) 606-1490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11320SCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy of Mount Pleasant, Inc CurrentSince Mar 26, 2024 Accepting new patients

Locations

900 Johnnie Dodds Blvd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 606-1490

Organizations & group practices 1

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1710605191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JOHNNIE DODDS BLVD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646130",
            "telephone_number": "843-606-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHNNIE DODDS BLVD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646130",
            "telephone_number": "843-606-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMIRE",
        "first_name": "DANIEL",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.