Individual provider Active NPI

Danielle Illfelder, PT, DPT, MSPT

  • Physical Therapist
  • Wayne, PA
National Provider Identifier
1063401529
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16101 Issued in MA
Practice address
456 Saint Davids Ave
Wayne, PA 19087-4203
Phone
(610) 225-2451
Fax
(610) 964-6166
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16101 MA Primary

Addresses

Primary practice location

456 Saint Davids Ave
Wayne, PA 19087-4203

Mailing address

263 Broughton LN
Villanova, PA 19085-1913
Phone (617) 283-0634

Other names 1

  • Mrs. Danielle Lauren Volk Former 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
16101MAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1063401529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 BROUGHTON LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851913",
            "telephone_number": "617-283-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 SAINT DAVIDS AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874203",
            "telephone_number": "610-225-2451",
            "fax_number": "610-964-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLFELDER",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "VOLK",
            "middle_name": "LAUREN",
            "prefix": "MRS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.