Brett Michael Daniel
Individual provider Active NPI Geriatric Physical Therapist · China Spring, TX
NPI 1922597715 · NPPES record last updated May 7, 2018
Key facts
- NPI
- 1922597715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- License
- 1133320 (TX)
- Practice address
- 2370 Garrett LN
China Spring, TX 76633-2722 - Phone
- (254) 744-4470
- NPI assigned
- May 7, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6898 Woodway Dr
Waco, TX 76712-6158
Phone (254) 870-0044
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200511001605 | TX | Practitioner - Physical Therapist in Private Practice | 6305274085 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1133320 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Aquatic and Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
6898 Woodway Dr
Woodway, TX 76712
Phone (254) 870-0044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1133320 | TX | |
| Geriatric Physical Therapist | 2251G0304X | 1133320 | TX | Yes |
Addresses
Primary practice location
2370 Garrett LN
China Spring, TX 76633-2722
Mailing address
2370 Garrett LN
China Spring, TX 76633-2722
Phone (254) 744-4470
Other providers in China Spring, TX
- Erick Barrera
- Linda Berntson
- Kelley Eileen Brister
- Tori Paige Butler
- Connection to Recovery, LLC
- Manuel Harty Edquist
- Michelle M Graeter
- Taylor Renee Graves
- Stephanie Habermann
- Heart of Texas Divine Living Assistance Services LLC
All providers in China Spring, TX · Geriatric Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2018. 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.