Active NPI
Danielle Lena Quarello, ATC, DPT
- Physical Therapist
- Commack, NY
National Provider Identifier
1104229756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P94772
- Practice address
- 169 Commack Rd Ste H
#152
Commack, NY 11725-3442 - Phone
- (631) 493-9308
- NPI assigned
- Sep 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P94772 | NY | Primary |
| Orthopedic Physical Therapist | 2251X0800X | P94772 | NY |
Addresses
Primary practice location
169 Commack Rd Ste H
#152
Commack, NY 11725-3442
Mailing address
169 Commack Rd Ste H
#152
Commack, NY 11725-3442
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
| License | State | Type | Specialty |
|---|---|---|---|
| P94772 | NY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1104229756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 COMMACK RD STE H",
"address_2": "#152",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 COMMACK RD STE H",
"address_2": "#152",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253442",
"telephone_number": "631-493-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUARELLO",
"first_name": "DANIELLE",
"middle_name": "LENA",
"name_prefix": "Ms.",
"credential": "ATC, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "P94772",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "P94772",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.