Active NPI
Joseph McDaniel, PHYSICAL THERAPIST
- Physical Therapist
- Ozark, AL
National Provider Identifier
1720144462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3463
- Practice address
- 123 S Painter Ave Ste C
Ozark, AL 36360-1802 - Phone
- (334) 774-0370
- Fax
- (334) 774-0732
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3463 | AL | Primary |
Addresses
Primary practice location
123 S Painter Ave Ste C
Ozark, AL 36360-1802
Mailing address
123 S Painter Ave Ste C
Ozark, AL 36360-1802
Phone (334) 774-0370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51534590 | Other | AL | BCBS OF AL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3463 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiregrass Medical Associates, L.L.C. | Past | Accepting new patients | |
| Amedisys Hospice, L.L.C. | Past | Accepting new patients | |
| PT Solutions, LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Ozark, AL
- NPI 1689683922
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1982843983
-
- Physical Therapist
- Oneida, TN
- NPI 1235180548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720144462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S PAINTER AVE STE C",
"city": "OZARK",
"state": "AL",
"postal_code": "363601802",
"telephone_number": "334-774-0370",
"fax_number": "334-774-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S PAINTER AVE STE C",
"city": "OZARK",
"state": "AL",
"postal_code": "363601802",
"telephone_number": "334-774-0370",
"fax_number": "334-774-0732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "JOSEPH",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51534590",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.