Danah Andrea Javalera, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020495 Issued in PA

Practice address

945 Duke St
Lebanon, PA 17042-7216

Phone

(717) 274-1495

Fax

(717) 389-0227

NPI assigned

Mar 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Danah Andrea Mendoza Former 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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1083988000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 S 16TH ST",
            "address_2": "APT H20",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425875",
            "telephone_number": "571-499-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 DUKE ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427216",
            "telephone_number": "717-274-1495",
            "fax_number": "717-389-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVALERA",
        "first_name": "DANAH",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANAH",
            "last_name": "MENDOZA",
            "middle_name": "ANDREA",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.