Danie Datulma, DC, FAKTR

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH15157 Issued in FL

Practice address

40 W Illiana St
Orlando, FL 32806-4455

Phone

(689) 306-6133

NPI assigned

Jan 8, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1013727569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5278 FLORIDA HOLLY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W ILLIANA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064455",
            "telephone_number": "689-306-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATULMA",
        "first_name": "DANIE",
        "name_prefix": "Dr.",
        "credential": "DC, FAKTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH15157",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH15157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia A Dasque, NP-C
• Frisnel Dass
• Megan Dass, LCSW
• Dast Healthcare Services, LLC
• Wilnard Dastine, ARNP
• Rebecca Datus, LCSW
• Amber Daub, PTA
• Benjamin Y. Daud Aguero, M.D.
• Mariam Daud, DO
• Daniel J Dauer, M.D.

• Sports Physician Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.