Active NPI
Ronald Kolby Daniels, MHS, PT
- Physical Therapist
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 114459-2401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14315 | CA | MD | Professional Counselor |
| 114459-2401 | UT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Land Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Daniels Therapy Services | Single Specialty | Current | Accepting new patients |
| Daniels Therapy Services, Inc. | Physical Therapist | Past | 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.
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1265549372
-
- Physical Therapy Clinic/Center
- Mountain View, CA
- NPI 1770648412
Physical Therapist
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.