Daniel R Wilson, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

47301 Issued in CO

Practice address

2695 Rocky Mountain Ave
Suite 200
Loveland, CO 80538-8702

Phone

(970) 495-8490

Fax

(970) 495-8499

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260

  Physical Medicine & Rehabilitation

  NPD
• Poudre Valley Internists PC

  • Specialist
  • Fort Collins, CO
  • NPI 1417993916
  NPD (past)
• Kansas City Physical Medicine Center PA

  • Physical Medicine & Rehabilitation Physician
  • Overland Park, KS
  • NPI 1366560492
  NPD (past)
• Rehab Services P a

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1942415062
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1710926746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE",
            "address_2": "SUITE 200",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388702",
            "telephone_number": "970-495-8490",
            "fax_number": "970-495-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE",
            "address_2": "SUITE 200",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388702",
            "telephone_number": "970-495-8490",
            "fax_number": "970-495-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "47301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30029244",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Williamson
• Terese Analise Casey Williamson, LCSW
• Wayne Williamson, PA-C
• Willow Roots, LTD.
• Phyllis Wilner, M.A., L.P.C.
• Danielle Tori Wilson, LPC, M.ED
• Kaylyn Dee Wilson, FNP
• Mary Elizabeth Wilson, PT, DPT, LMT
• Ryan Wilson, L.S.W
• Winding Willow Psychotherapy PLLC

• Physical Medicine & Rehabilitation Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.