Provider Demographics
NPI:1760564892
Name:ELKINS, DANIEL ALFRED (MS, PT, ATC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ALFRED
Last Name:ELKINS
Suffix:
Gender:M
Credentials:MS, PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7TH & N CLAYTON STREETS
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805
Mailing Address - Country:US
Mailing Address - Phone:302-575-8250
Mailing Address - Fax:302-575-8247
Practice Address - Street 1:7TH STREET AND N CLAYTON STREET
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805
Practice Address - Country:US
Practice Address - Phone:302-575-8250
Practice Address - Fax:302-575-8247
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJI0001668225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000035942Medicaid
DEP52974Medicare UPIN
DE014987P16Medicare ID - Type UnspecifiedPHYSICAL THERAPY