Theotis Daniels, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10491 Issued in SC

Practice address

100 Okatie Center Boulevard North
Okatie, SC 29909-3750

Phone

(843) 547-4058

Fax

(843) 705-7411

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compass Rehabilitation

  • Physical Therapist
  • Okatie, SC
  • NPI 1205251261
  Medicare reassignment NPD
• Drayer Physical Therapy-South Carolina, LLC

  • Physical Therapist
  • Columbia, SC
  • NPI 1841622354
  Medicare reassignment NPD
• Drayer Physical Therapy - South Carolina, LLC

  • Physical Therapist
  • Camden, SC
  • NPI 1154816833
  NPD

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1760072367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OKATIE CENTER BOULEVARD NORTH",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093750",
            "telephone_number": "843-547-4058",
            "fax_number": "843-705-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OKATIE CENTER BOULEVARD NORTH",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093750",
            "telephone_number": "843-547-4058",
            "fax_number": "843-705-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "THEOTIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT10491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene S Coates
• Tiffany M Cochran, M. D.
• Compass Rehabilitation
• Compass Rehabilitation
• Stephen Wilson Crapps, MSPT, STC
• Davis and Wine Dental Associates, LLC
• Byron A Davis, D.D.S, M.S.
• Carianna Joelle Davison, PT
• Heidi Harrington Deleon, M.D.
• Alexandra Dickason

• Physical Therapist in Okatie, SC
• Providers in Okatie, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.