Danielle Latricia Gomer, PTA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

A2827 Issued in MD

Practice address

606 Cannon Street
Chestertown, MD 21620

Phone

(410) 810-2957

NPI assigned

Mar 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Danielle Latricia Barrett Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1083884613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 CANNON STREET",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "21620",
            "telephone_number": "410-810-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CANNON STREET",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "21620",
            "telephone_number": "410-810-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMER",
        "first_name": "DANIELLE",
        "middle_name": "LATRICIA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "A2827",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "DE",
            "license": "J2-0000642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "BARRETT",
            "middle_name": "LATRICIA",
            "prefix": "MRS.",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gerard S. O'Connor,M.D.
• Alison Leah Gifford, APRN, FNP-C
• Stacie L Glover, M.S., CCC-A
• Mark Mitchell Goldberg, D.P.M.
• Susan Yvonne Goldman, LCSW-C
• Patricia J Gunn, CRNP
• Mary Hall, PRS
• Harry L Hart, OD
• Hearing Center of Chestertown, LLC
• Hearing Center of Chestertown, LLC

• Physical Therapy Clinic/Center in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.