Individual provider Active NPI

Danielle Squires, PT, DPT

  • Physical Therapist
  • Macungie, PA
National Provider Identifier
1033693296
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01803600 Issued in NJ
Practice address
175 W Main St
Macungie, PA 18062-1166
Phone
(610) 966-6773
NPI assigned
Sep 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 PT029203 PA
Physical Therapist 225100000X 40QA01803600 NJ Primary

Addresses

Primary practice location

175 W Main St
Macungie, PA 18062-1166

Mailing address

26 N 4TH St
Easton, PA 18042-3575
Phone (201) 321-4752

Other practice location 1

400 Franklin Tpke Ste 200
Mahwah, NJ 07430-3518
Phone (201) 825-2027

Other identifiers 1

IdentifierTypeStateIssuer
PT029203OtherPAPHYSICAL THERAPY BOARD OF PENNSYLVANIA

Other names 1

  • Ms. Danielle Rose Beatini Other name

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
40QA01803600NJMDPhysical Therapist
PT029203PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1033693296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N 4TH ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423575",
            "telephone_number": "201-321-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W MAIN ST",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180621166",
            "telephone_number": "610-966-6773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Franklin Tpke Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mahwah",
            "state": "NJ",
            "postal_code": "074303518",
            "country_code": "US",
            "telephone_number": "201-825-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "DANIELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-23",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029203",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01803600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF PENNSYLVANIA",
            "identifier": "PT029203",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "BEATINI",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Macungie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.