Individual provider Active NPI

Danielle Spagnolo, DPT

  • Physical Therapist
  • Lewes, DE
National Provider Identifier
1003986399
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014496 Issued in DE
Practice address
701 Savannah Rd Ste A1
Lewes, DE 19958-1550
Phone
(302) 644-2530
Fax
(302) 644-2556
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01211400 NJ
Physical Therapist 225100000X J1-0014496 DE Primary

Addresses

Primary practice location

701 Savannah Rd Ste A1
Lewes, DE 19958-1550

Mailing address

11 Eagle Rock Ave Ste 201
East Hanover, NJ 07936-3167
Phone (738) 887-9000

Other practice location 1

197 Ridgedale Ave Ste 155
Cedar Knolls, NJ 07927
Phone (973) 605-5115

Other practice location 2

1086 Teaneck Rd
Suite 3E
Teaneck, NJ 07666-4854
Phone (201) 833-1333

Other practice location 3

1086 Teaneck Rd
Suite 3E
Teaneck, NJ 07666-4854
Phone (201) 833-1333

Other names 1

  • Danielle Deodato Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110001181 DE Practitioner - Physical Therapist in Private Practice 7517059058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians

Practice addresses (Care Compare)

701 Savannah Rd
Suite A1
Lewes, DE 19958-1550
Phone (302) 644-2530

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014496DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients
Balance and Concussion Therapy Center, LLC Physical Therapist CurrentSince Aug 28, 2022 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients

Locations

701 Savannah Rd
Ste A1
Lewes, DE 19958
Phone (302) 644-2530

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

1086 Teaneck Rd
Ste 3E
Teaneck, NJ 07666
Phone (201) 575-6291

Organizations & group practices 4

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1003986399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE STE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "738-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SAVANNAH RD STE A1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581550",
            "telephone_number": "302-644-2530",
            "fax_number": "302-644-2556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Ridgedale Ave Ste 155",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "07927",
            "country_code": "US",
            "telephone_number": "973-605-5115",
            "fax_number": "973-605-5995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1086 Teaneck Rd",
            "address_2": "Suite 3E",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664854",
            "country_code": "US",
            "telephone_number": "201-833-1333",
            "fax_number": "201-833-1390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1086 Teaneck Rd",
            "address_2": "Suite 3E",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664854",
            "country_code": "US",
            "telephone_number": "201-833-1333",
            "fax_number": "201-833-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAGNOLO",
        "first_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01211400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DEODATO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.