Concietta Daniels, PT, DPT, LSVT
Individual provider Active NPI Physical Therapist · Barling, AR
NPI 1851097174 · NPPES record last updated Feb 7, 2023
Key facts
- NPI
- 1851097174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT5112 (AR)
- Practice address
- 318 Strozier LN
Barling, AR 72923-2323 - Phone
- (479) 452-8181
- NPI assigned
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
3800 SW Mount Carmel Dr
Bentonville, AR 72713-1012
Phone (479) 268-3207
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230404002542 | AR | Practitioner - Physical Therapist in Private Practice | 3779958756 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current |
Accepting new patients |
| Silver Stride Therapy, LLC | Current |
Accepting new patients | |
| Legacy Healthcare Services Inc | Physical Therapist | Current |
Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5112 | AR | Yes |
Addresses
Primary practice location
318 Strozier LN
Barling, AR 72923-2323
Mailing address
824 Salem Rd Ste 220
Conway, AR 72034-4855
Phone (501) 932-0055
Other providers in Barling, AR
- Andrea Crabtree
- Charles W Craft
- Aaron Crawford
- Lisa Curry
- Sarah Curtis
- Lucas Davis
- Peyton Diaz
- Amy Diede
- Johnathan Riley Dinsmore
- Stephanie Doherty
All providers in Barling, AR · Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.