Active NPI
Danielle Staley, DPT
- Pediatric Physical Therapist
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 16421
- Practice address
- 851 Professional Park Dr
Clarksville, TN 37040-5257 - Phone
- (931) 542-2168
- NPI assigned
- Aug 17, 2018
- Last updated
- May 2, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1306741 | TX | |
| Pediatric Physical Therapist | 2251P0200X | 16421 | TN | Primary |
Addresses
Primary practice location
851 Professional Park Dr
Clarksville, TN 37040-5257
Mailing address
1314 Windermere Way
Princeton, TX 75407-6812
Phone (480) 521-3883
Other practice location 1
60 Noble Ct Ste 120
Heath, TX 75032-6355
Phone (325) 793-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250721003580 | TN | Practitioner - Physical Therapist in Private Practice | 1052827656 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16421 | TN | MD | Pediatric Physical Therapist |
| 1306741 | TX | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Solutions | Pediatrics | Current | Accepting new patients |
Locations
397 Tiny Town Rd
Clarksville, TN 37042
397 Tiny Town Rd
#B
Clarksville, TN 37042
Phone (931) 999-7400
851 Professional Park Dr
Clarksville, TN 37040
Phone (931) 542-2168
248 Centre St
Ste 200
Pleasant View, TN 37146
Phone (615) 619-2390
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clarksville, TN
- NPI 1326269119
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1104306216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 WINDERMERE WAY",
"city": "PRINCETON",
"state": "TX",
"postal_code": "754076812",
"telephone_number": "480-521-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 PROFESSIONAL PARK DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405257",
"telephone_number": "931-542-2168"
}
],
"practiceLocations": [
{
"address_1": "60 Noble Ct Ste 120",
"address_purpose": "LOCATION",
"city": "Heath",
"state": "TX",
"postal_code": "750326355",
"country_code": "US",
"telephone_number": "325-793-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STALEY",
"first_name": "DANIELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1306741",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TN",
"license": "16421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.