Individual provider Active NPI

Ronald Kolby Daniels, MHS, PT

  • Physical Therapist
  • St George, UT
National Provider Identifier
1962567602
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
114459-2401 Issued in UT
Practice address
1664 S Dixie Dr Ste L105
St George, UT 84770-7331
Phone
(435) 652-3707
Fax
(435) 652-3750
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 114459-2401 UT
Physical Therapist 225100000X 114459-2401 UT Primary

Addresses

Primary practice location

1664 S Dixie Dr Ste L105
St George, UT 84770-7331

Mailing address

1664 S Dixie Dr Ste L105
St George, UT 84770-7331
Phone (435) 652-3707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200114000454 UT Practitioner - Physical Therapist in Private Practice 1759356611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Utah School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

1664 S Dixie Dr
Suite L105
St George, UT 84770-7331
Phone (435) 652-3707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14315CAMDProfessional Counselor
114459-2401UTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Daniels Therapy Services Single Specialty CurrentSince Aug 16, 2019 Accepting new patients
Daniels Therapy Services, Inc. Physical Therapist PastSince Jun 25, 1999 Accepting new patients

Locations

1664 S Dixie Dr
Ste K105
St George, UT 84770
Phone (435) 652-3707

1664 S Dixie Dr
Ste L105
St George, UT 84770
Phone (435) 652-3707

4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1962567602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE L105",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707331",
            "telephone_number": "435-652-3707",
            "fax_number": "435-652-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE L105",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707331",
            "telephone_number": "435-652-3707",
            "fax_number": "435-652-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "RONALD",
        "middle_name": "KOLBY",
        "name_prefix": "Mr.",
        "credential": "MHS, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "114459-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "114459-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.