Individual provider Active NPI

Daniela M. Espino, DPT, PT

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1093377236
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61228011 Issued in WA
Practice address
575 Dekalb Industrial Way Ste 103
Decatur, GA 30030-1756
Phone
(404) 296-8511
Fax
(404) 296-8514
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61228011 WA Primary
Physical Therapist 225100000X PT014083 GA

Addresses

Primary practice location

575 Dekalb Industrial Way Ste 103
Decatur, GA 30030-1756

Mailing address

575 Dekalb Industrial Way Ste 103
Decatur, GA 30030-1756
Phone (404) 296-8511

Other practice location 1

1834 Clairmont Rd Ste 200
Decatur, GA 30033-3405
Phone (404) 471-1851

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
PT014083GAMDPhysical Therapist
PT61228011WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Immanuels Word Inc Past Accepting new patients
Decatur Hand Therapy Specialists Limited Partnership Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1093377236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 DEKALB INDUSTRIAL WAY STE 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301756",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 DEKALB INDUSTRIAL WAY STE 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301756",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1834 Clairmont Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300333405",
            "country_code": "US",
            "telephone_number": "404-471-1851",
            "fax_number": "404-471-1854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINO",
        "first_name": "DANIELA",
        "middle_name": "M.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61228011",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.