Individual provider Active NPI

Daniel James Mines, PT

  • Physical Therapist
  • Ocean Isle Beach, NC
National Provider Identifier
1770055584
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18480 Issued in NC
Practice address
6278 Beach Dr SW Ste 114
Ocean Isle Beach, NC 28469-3670
Phone
(910) 579-3900
Fax
(910) 579-3905
NPI assigned
Dec 19, 2018
Last updated
May 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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 P18480 NC Primary

Addresses

Primary practice location

6278 Beach Dr SW Ste 114
Ocean Isle Beach, NC 28469-3670

Mailing address

1200 Corporate Dr Ste 300
Birmingham, AL 35242-2944
Phone (423) 682-8840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128001198 NC Practitioner - Physical Therapist in Private Practice 0547507600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6278 Beach Dr SW
Suite 114
Ocean Isle Beach, NC 28469-3670
Phone (910) 579-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince May 29, 2019 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince May 29, 2019 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

6278 Beach Dr SW
Ste 114
Ocean Isle Beach, NC 28469
Phone (888) 357-9043

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1770055584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422944",
            "telephone_number": "423-682-8840",
            "fax_number": "423-602-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6278 BEACH DR SW STE 114",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284693670",
            "telephone_number": "910-579-3900",
            "fax_number": "910-579-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINES",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-19",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Isle Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.