Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205249257 Individual Practitioner Male Practitioner

Mark Daniels , LAT, MS, ATC

Specialist • Webster Groves, MO

Professional Overview & Biography Verified Profile Summary

Mark Daniels, LAT, MS, ATC is a registered healthcare professional specializing in Specialist in Webster Groves, MO. Practice services are available at 630 S ELM AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

630 S Elm Ave

Webster Groves, MO 631194047

Telephone 4178399920

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Webster Groves, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Webster Groves, MO (503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MO 00036

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Athletic Trainer
00036 (MO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 07, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 07, 2014

Registered at 630 S ELM AVE, WEBSTER GROVES, MO 631194047 (Tel: 4178399920)

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Updated Business Mailing Address June 07, 2014

Registered at 630 S ELM AVE, WEBSTER GROVES, MO 631194047 (Tel: 4178399920)

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Provider Name / Credentials Updated June 07, 2014

Recorded as MARK DANIELS, L.A.T., M.S., A.T.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2014

Specialist (License #00036 in MO)

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Initial NPI Registration & Enumeration June 07, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205249257
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2014
Last Update: June 07, 2014
Sole Proprietor: Yes

Mailing Address

630 S Elm Ave

Webster Groves, MO 631194047

Phone: 4178399920

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.