Danielle Van Dyck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15201-24 Issued in WI

Practice address

5150 N Port Washington Rd Ste 220
Glendale, WI 53217-5400

Phone

(414) 541-1118

NPI assigned

Dec 17, 2020

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

• Danielle T Treuthardt Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1801907464
  Medicare reassignment NPD
• Fox Rehabilitation Services Wi LLC

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1518483973
  Medicare reassignment NPD
• Thera-Dynamics, S.C.

  • Physical Therapy Clinic/Center
  • Milwaukee, WI
  • NPI 1851366983

  Physical Therapist

  Medicare reassignment NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Mequon, WI
  • NPI 1245424464
  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
  • NPI 1558956722

  Physical Therapist

  NPD
• Southern Lakes Physical Therapy

  • Physical Therapy Clinic/Center
  • Milwaukee, WI
  • NPI 1699965525
  NPD

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1093301764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD STE 220",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532175400",
            "telephone_number": "414-541-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4861 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532212603",
            "country_code": "US",
            "telephone_number": "414-325-3325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7708 W Good Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532234516",
            "country_code": "US",
            "telephone_number": "414-541-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272400",
            "country_code": "US",
            "telephone_number": "414-541-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 S Kinnickinnic Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532071368",
            "country_code": "US",
            "telephone_number": "414-541-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 N 36th St Unit 300",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532083816",
            "country_code": "US",
            "telephone_number": "414-541-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DYCK",
        "first_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15201-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "TREUTHARDT",
            "middle_name": "T",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margo Ann Turner, M.S./CCC-SLP
• Ryan Michael Ungerecht, PT, DPT
• Frank Paul Urtz, PHD
• Nicole L Valk
• Patricia M. Van Den Kieboom, OTR
• Allen D Van Scoyk, D.C.
• Ilva E Van Valkenburgh, MD
• Frederick Jacobus Van Vuuren
• Choua Linda Vang
• Anna-Maria Veytsman, M.D.

• Physical Therapist in Glendale, WI
• Providers in Glendale, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.