Active NPI
Daniel Paul Midyett Sr.
- Physical Therapist
- Baton Rouge, LA
National Provider Identifier
1821810821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00696
- Practice address
- 9301 Oxford Place Dr
Baton Rouge, LA 70809-2557 - Phone
- (318) 423-6848
- NPI assigned
- Oct 30, 2024
- Last updated
- Oct 30, 2024
- 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 | 00696 | LA | Primary |
Addresses
Primary practice location
9301 Oxford Place Dr
Baton Rouge, LA 70809-2557
Mailing address
307 International Cir Ste 100
Cockeysville, MD 21030-1387
Phone (225) 924-2851
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00696 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1821810821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 INTERNATIONAL CIR STE 100",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210301387",
"telephone_number": "225-924-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 OXFORD PLACE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092557",
"telephone_number": "318-423-6848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDYETT",
"first_name": "DANIEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "00696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.