Danielle Brianna Waters, DPY

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2015039522 Issued in MO

Practice address

872 College Blvd
Osage Beach, MO 65065-8408

Phone

(573) 302-0900

NPI assigned

Jan 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehabilitation Services PT Mo LLC

  • Physical Therapist
  • Saint Charles, MO
  • NPI 1750906095
  NPD

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1023525268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W LINE ST",
            "city": "PALMYRA",
            "state": "MO",
            "postal_code": "634611827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 COLLEGE BLVD",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650658408",
            "telephone_number": "573-302-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "DANIELLE",
        "middle_name": "BRIANNA",
        "credential": "DPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015039522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Walling
• Brittany Diane Walsch, PTA
• Karen Walters, FNP
• Sara Ashley Warren, D.O.
• Tana Warren, LPC, MS
• Charles Welch, CRNA
• Theresa Welch, LCSW
• Well Aligned Chiropractic, LLC
• Ryan Wetzel, PHARMD
• Jacob Andrew White, PA-C

• Physical Therapist in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.