Individual provider Active NPI

Daniel J Washeck, PT

  • Physical Therapist
  • Lake Saint Louis, MO
National Provider Identifier
1881788321
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009402 Issued in WA
Practice address
21 Meadows Circle Dr Ste 320
Lake Saint Louis, MO 63367-4110
Phone
(636) 699-9357
Fax
(636) 625-0411
NPI assigned
Oct 2, 2006
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00009402 WA Primary

Addresses

Primary practice location

21 Meadows Circle Dr Ste 320
Lake Saint Louis, MO 63367-4110

Mailing address

21 Meadows Circle Dr Ste 320
Lake Saint Louis, MO 63367-4110
Phone (636) 699-9357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140527001904 MO Practitioner - Physical Therapist in Private Practice 0749288314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winghaven Manual Physical TherapyGroup PAC ID 4981977709, 2 clinicians

Practice addresses (Care Compare)

21 Meadows Circle Dr
Suite 320
Lake Saint Louis, MO 63367-4110
Phone (636) 625-0408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00009402WAMDPhysical Therapist

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1881788321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MEADOWS CIRCLE DR STE 320",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633674110",
            "telephone_number": "636-699-9357",
            "fax_number": "636-625-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MEADOWS CIRCLE DR STE 320",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633674110",
            "telephone_number": "636-699-9357",
            "fax_number": "636-625-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHECK",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.