Active NPI
Danielle Conway Littlehale, PT, DPT
- Physical Therapist
- Sunnyvale, CA
National Provider Identifier
1124565122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT292599
- Practice address
- 333 Soquel Way
Sunnyvale, CA 94085-4102 - Phone
- (408) 736-7600
- Fax
- (408) 736-7604
- NPI assigned
- Jan 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT292599 | CA | Primary |
Addresses
Primary practice location
333 Soquel Way
Sunnyvale, CA 94085-4102
Mailing address
333 Soquel Way
Sunnyvale, CA 94085-4102
Phone (408) 736-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053320325 | Other | CA | GROUP NPI |
| 86-1103011 | Other | CA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3825 El Camino Real
Palo Alto, CA 94306-3324
Phone (650) 565-8090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT292599 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agile Physical Therapy Inc | Current | Accepting new patients |
Locations
3825 El Camino Real
Palo Alto, CA 94306
Phone (856) 296-2860
801 N San Mateo Dr
San Mateo, CA 94401
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1659445443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1124565122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 SOQUEL WAY",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940854102",
"telephone_number": "408-736-7600",
"fax_number": "408-736-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SOQUEL WAY",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940854102",
"telephone_number": "408-736-7600",
"fax_number": "408-736-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY LITTLEHALE",
"first_name": "DANIELLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT292599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1053320325",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "86-1103011",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.