Daniel Davis Drake
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Rangely, CO
NPI 1841969276 · NPPES record last updated Sep 9, 2021
Key facts
- NPI
- 1841969276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- PTA.0013794 (CO)
- Practice address
- 225 Eagle Crest Dr
Rangely, CO 81648-3105 - Phone
- (970) 675-4205
- Fax
- (970) 675-4270
- NPI assigned
- Sep 9, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.0013794 | CO | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PTA.0013794 | CO | Yes |
Addresses
Primary practice location
225 Eagle Crest Dr
Rangely, CO 81648-3105
Mailing address
225 Eagle Crest Dr
Rangely, CO 81648-3105
Phone (970) 675-4205
Other providers in Rangely, CO
- Jianwei Chang Dillon
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
- Community Medical Group, LLC
- Nicole Marie Danielson
- Eastern Rio Blanco County Health Service District
- Eastern Rio Blanco County Health Service District
- Norian Edwards
- Gregory Earl Fugal
- Tammy Ann Garner Dunker
All providers in Rangely, CO · Physical Medicine & Rehabilitation Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.