Provider Demographics
NPI:1508924556
Name:MCCARTHA, T DANIEL (PT)
Entity Type:Individual
Prefix:MR
First Name:T
Middle Name:DANIEL
Last Name:MCCARTHA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:TIMOTHY
Other - Middle Name:DANIEL
Other - Last Name:MCCARTHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:206 ARBOR CT
Mailing Address - Street 2:
Mailing Address - City:STERRETT
Mailing Address - State:AL
Mailing Address - Zip Code:35147-8124
Mailing Address - Country:US
Mailing Address - Phone:205-678-0081
Mailing Address - Fax:205-678-8684
Practice Address - Street 1:206 ARBOR CT
Practice Address - Street 2:
Practice Address - City:STERRETT
Practice Address - State:AL
Practice Address - Zip Code:35147-8124
Practice Address - Country:US
Practice Address - Phone:205-678-0081
Practice Address - Fax:205-678-8684
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3387225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist