Individual provider Active NPI

Danielle M. Cusimano, PT

  • Physical Therapist
  • Pompton Plains, NJ
National Provider Identifier
1003196395
Registry record updated Mar 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00747700 Issued in NJ
Practice address
1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Phone
(973) 831-3670
Fax
(973) 831-3671
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00747700 NJ Primary

Addresses

Primary practice location

1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100

Mailing address

1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Phone (973) 831-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00747700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Orthopedics Physical Therapy and Rehabilitation Center, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458950400000",
    "number": "1003196395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3670",
            "fax_number": "973-831-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3670",
            "fax_number": "973-831-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSIMANO",
        "first_name": "DANIELLE",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2016-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00747700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.