Patrick Neal Daniels, MS, LAT, ATC, OPE-C

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT006662 Issued in OH

Practice address

4500 Big Run South Rd
Grove City, OH 43123-9687

Phone

(614) 801-6500

NPI assigned

Jan 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1811461502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684303",
            "telephone_number": "614-743-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BIG RUN SOUTH RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239687",
            "telephone_number": "614-801-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "PATRICK",
        "middle_name": "NEAL",
        "name_prefix": "Mr.",
        "credential": "MS, LAT, ATC, OPE-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT006662",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Love Cutler, APRNCNP
• Lodia Marie D'Angelo-Foster, LSW
• Charles Hamilton Dabbs, M.D.
• Burhan Dahir
• Mark Dalgetty
• Theresa M Daniels, CDCA
• Pamela Danklefsen, ED. D
• Alisha J Darko
• Aaron Francis Dattilo, AT
• Diane M Datz, LISW-S

• Athletic Trainer in Grove City, OH
• Providers in Grove City, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.