Individual provider Active NPI

Danielle Renee Swartz, PT, DPT

  • Physical Therapist
  • Ottawa, KS
National Provider Identifier
1104272350
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05389 Issued in KS
Practice address
1410 S Main St
Ottawa, KS 66067
Phone
(785) 242-2110
Fax
(785) 242-2116
NPI assigned
May 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-05389 KS Primary

Addresses

Primary practice location

1410 S Main St
Ottawa, KS 66067

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217

Other names 1

  • Danielle Renee Stevenson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160624001853 KS Practitioner - Physical Therapist in Private Practice 0749571503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serc Rebabilitation Partners, LLCGroup PAC ID 9830344563, 212 clinicians

Practice addresses (Care Compare)

225 N Moonlight Rd
Serc Gardner
Gardner, KS 66030-1928
Phone (913) 856-7927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05389KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Jun 6, 2016 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Jun 6, 2016 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

415 S 10th St
Atchison, KS 66002
Phone (913) 370-9501

13035 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 721-6362

218 E 20th St
Ste A
Eudora, KS 66025
Phone (785) 542-3333

225 N Moonlight Rd
Gardner, KS 66030
Phone (913) 384-1642

1004 Progress Dr
Ste 100
Lansing, KS 66043
Phone (913) 351-3586

10074 Woodland Rd
Lenexa, KS 66220
Phone (913) 393-2222

6640 Johnson Dr
Mission, KS 66202
Phone (913) 384-5600

12755 S Mur Len Rd
Ste B1
Olathe, KS 66062
Phone (913) 782-7734

1410 S Main St
Ottawa, KS 66067
Phone (785) 242-2110

8019 W 151st St
Overland Park, KS 66223
Phone (913) 685-5803

11120 Antioch Rd
Ste 17
Overland Park, KS 66210
Phone (913) 451-7372

13847 W 63rd St
Ste 2
Shawnee, KS 66216
Phone (913) 962-7770

21161 W 223rd St
Spring Hill, KS 66083
Phone (913) 686-3333

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1104272350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "66067",
            "telephone_number": "785-242-2110",
            "fax_number": "785-242-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "DANIELLE",
        "middle_name": "RENEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "STEVENSON",
            "middle_name": "RENEE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ottawa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.