Individual provider Active NPI

Danielle Conway Littlehale, PT, DPT

  • Physical Therapist
  • Sunnyvale, CA
National Provider Identifier
1124565122
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT292599 Issued in CA
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

Updated by the provider on Mar 2, 2021

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 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

IdentifierTypeStateIssuer
1053320325OtherCAGROUP NPI
86-1103011OtherCATAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170322002018 CA Practitioner - Physical Therapist in Private Practice 8729363338 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
Telehealth
Offers telehealth services
Group practices
Agile Physical Therapy IncGroup PAC ID 2163311556, 48 clinicians

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

LicenseStateTypeSpecialty
PT292599CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agile Physical Therapy Inc CurrentSince Apr 8, 2022 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.

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.

Verify at the official NPI Registry.