Active NPI
Danielle Squires, PT, DPT
- Physical Therapist
- Macungie, PA
National Provider Identifier
1033693296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01803600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT029203 | Other | PA | PHYSICAL THERAPY BOARD OF PENNSYLVANIA |
Other names 1
- Ms. Danielle Rose Beatini
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01803600 | NJ | MD | Physical Therapist |
| PT029203 | PA | MD | Physical 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.