Healthcare Provider Details

I. General information

NPI: 1033895560
Provider Name (Legal Business Name): CAITLIN DANIELS DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22719 S ELLSWORTH RD STE 101
QUEEN CREEK AZ
85142-6128
US

IV. Provider business mailing address

22719 S ELLSWORTH RD STE 101
QUEEN CREEK AZ
85142-6128
US

V. Phone/Fax

Practice location:
  • Phone: 480-906-0900
  • Fax: 480-906-0899
Mailing address:
  • Phone: 480-906-0900
  • Fax: 480-906-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number33060
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: