Individual provider Active NPI

Daniel Solomon Oliver, DPT

  • Physical Therapist
  • Owings Mills, MD
National Provider Identifier
1821718164
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02109200 Issued in NJ
Practice address
9934 Reisterstown Rd # 18E
Owings Mills, MD 21117-3945
Phone
(240) 545-0507
Fax
(410) 842-2770
NPI assigned
Aug 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MD
Physical Therapist 225100000X 40QA02109200 NJ Primary

Addresses

Primary practice location

9934 Reisterstown Rd # 18E
Owings Mills, MD 21117-3945

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

12-15 Saddle River Rd
Fair Lawn, NJ 07410-5808
Phone (201) 797-9522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320000118 MD Practitioner - Physical Therapist in Private Practice 9032575246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02109200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince Jul 20, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 7, 2024 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Jul 20, 2024 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 7, 2024 Accepting new patients
Rehabclinics SPT Inc PastSince Feb 17, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

9934 Reisterstown Rd
Ste 18E
Owings Mills, MD 21117
Phone (240) 545-0507

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

100 K Johnson Blvd
Ste 202
Bordentown, NJ 08505

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

999 Route 73 N
Ste 401
Marlton, NJ 08053

67 Lacey Rd
Ste 812
Whiting, NJ 08759
Phone (732) 849-0080

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1821718164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9934 REISTERSTOWN RD # 18E",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173945",
            "telephone_number": "240-545-0507",
            "fax_number": "410-842-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12-15 Saddle River Rd",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074105808",
            "country_code": "US",
            "telephone_number": "201-797-9522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "DANIEL",
        "middle_name": "SOLOMON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02109200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.