Danielle Marie Cordova, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2085880 Issued in TX

Practice address

655 Oak Circle Dr E
Conroe, TX 77301-3167

Phone

(832) 669-2626

NPI assigned

Dec 7, 2012

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Stellaris Care

  • Home Health Agency
  • Conroe, TX
  • NPI 1205606944
  NPD Authorized official

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1063757649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 OAK CIRCLE DR E",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773013167",
            "telephone_number": "832-669-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 OAK CIRCLE DR E",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773013167",
            "telephone_number": "832-669-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2085880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kristen Cook, MSN, APRN, PMHNP-BC
• Sara Cook
• Glenda Cooley, P.T.
• Ralph A. Cooley, D.D.S.
• Samantha Rae Coontz, MS, CCC-SLP
• Corf Holdings of Texas,Inc
• Daniel Andre Coriolan
• Sean Joseph Corjay, DPT
• Lucas J Cormier
• Chelsea Corona, M.S., CCC-SLP

• Physical Therapy Assistant in Conroe, TX
• Providers in Conroe, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.