Zachary Lucas Daniels

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2780 Issued in ID

Practice address

2640 Channing Way
Idaho Falls, ID 83404-7517

Phone

(208) 552-2248

Fax

(208) 552-2463

NPI assigned

Jan 20, 2011

Last updated

Feb 25, 2016By 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

Not listed in the public Medicare enrollment file

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.

• Eagle Rock Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Idaho Falls, ID
  • NPI 1174712418
  NPD
• McDonald Rehab, PC

  dba Superior Physical Therapy

  • Physical Therapist
  • Pocatello, ID
  • NPI 1497948509
  NPD
• Rocky Mountain Physical Therapy PLLC

  • Physical Therapist
  • Blackfoot, ID
  • NPI 1538172648
  NPD (past)
• Norco Inc.

  • Durable Medical Equipment & Medical Supplies
  • Blanding, UT
  • NPI 1780546028
  NPD (past)

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1841595923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047517",
            "telephone_number": "208-552-2248",
            "fax_number": "208-552-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047517",
            "telephone_number": "208-552-2248",
            "fax_number": "208-552-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ZACHARY",
        "middle_name": "LUCAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-20",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallco Orthopaedics and Sports Medicine
• Audrey Dalley, LPN
• Jason Dallimore, LPC
• Jason Dalling, M.D.
• Daniel K Hinckley MD PA
• Kathleen Dannehl
• Daron L. Scherr M.D. P. a.
• Craig Darrington, DDS
• Katrina M Dasenbrock, LCSW
• Eric Davenport, LMSW

• Physical Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.