Active NPI
Daniel Van Slyke, DPT
- Physical Therapist
- Duncan, SC
National Provider Identifier
1952780397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36825
- Practice address
- 115 Deacon Tiller CT
Duncan, SC 29334-8880 - Phone
- (864) 587-1921
- Fax
- (864) 587-9119
- NPI assigned
- May 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT36825 | FL | Primary |
Addresses
Primary practice location
115 Deacon Tiller CT
Duncan, SC 29334-8880
Mailing address
PO Box 3408
Irmo, SC 29063-4015
Phone (803) 732-5887
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11778 | Other | SC | PHYSICAL THERAPY LICENSE |
| 5501016462 | Other | MI | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11778 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Rehabilitation Group, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Rehabilitation Group | Physical Therapist | Past | Accepting new patients |
| Coastal Orthopedics & Sports Medicine of Southwest FL, PA | Past | Accepting new patients |
Locations
130 Leadmine St
Gaffney, SC 29340
Phone (803) 732-5887
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 and National Provider Directory roles.
-
- Physical Therapist
- Gaffney, SC
- NPI 1376240796
-
- Physical Therapist
- Columbia, SC
- NPI 1629407606
-
- Specialist
- Bradenton, FL
- NPI 1811134794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1952780397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3408",
"city": "IRMO",
"state": "SC",
"postal_code": "290634015",
"telephone_number": "803-732-5887",
"fax_number": "803-732-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 DEACON TILLER CT",
"city": "DUNCAN",
"state": "SC",
"postal_code": "293348880",
"telephone_number": "864-587-1921",
"fax_number": "864-587-9119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN SLYKE",
"first_name": "DANIEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-19",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "11778",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "5501016462",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duncan, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.