Individual provider Active NPI

Daniella Tress, P.T.

  • Physical Therapist
  • Ross, CA
National Provider Identifier
1104152503
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23239 Issued in CA
Practice address
32 Ross CMN # 250
Ross, CA 94957-9900
Phone
(415) 737-5922
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
Yes

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23239CAMDPhysical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23239 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

32 Ross CMN # 250
Ross, CA 94957-9900

Mailing address

PO Box 441
Ross, CA 94957-0441
Phone (415) 737-5922

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2020.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1104152503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "ROSS",
            "state": "CA",
            "postal_code": "949570441",
            "telephone_number": "415-737-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 ROSS CMN # 250",
            "city": "ROSS",
            "state": "CA",
            "postal_code": "949579900",
            "telephone_number": "415-737-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESS",
        "first_name": "DANIELLA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ross, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.