Individual provider Active NPI

Rachael M Danneker, DPT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1124862123
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029491 Issued in PA
Practice address
2307 W 12TH Street
Optional
Erie, PA 16505
Phone
(814) 528-5667
NPI assigned
Jun 24, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 PT029491 PA Primary

Addresses

Primary practice location

2307 W 12TH Street
Optional
Erie, PA 16505

Mailing address

2824 W 33Rd St
Erie, PA 16506-3306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821001923 PA Practitioner - Physical Therapist in Private Practice 2668910696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Up Physical Therapy LLCGroup PAC ID 7810302593, 7 clinicians

Practice addresses (Care Compare)

2307 W 12TH St
Erie, PA 16505-4539
Phone (814) 528-5667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up Physical Therapy, LLC Physical Therapist CurrentSince May 29, 2024 Accepting new patients

Locations

2307 W 12th St
Erie, PA 16505
Phone (814) 528-5667

2311 W 15th St
Erie, PA 16505
Phone (814) 528-5667

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1124862123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 W 33RD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W 12TH STREET",
            "address_2": "OPTIONAL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16505",
            "telephone_number": "814-528-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNEKER",
        "first_name": "RACHAEL",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.