Active NPI
Danielle Petrone, PT
- Physical Therapist
- Clifton Park, NY
National Provider Identifier
1134422322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033233
- Practice address
- 648 Plank Rd
Clifton Park, NY 12065-2064 - Phone
- (518) 268-4800
- NPI assigned
- Dec 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008968 | CT | |
| Physical Therapist | 225100000X | 033233 | NY | Primary |
Addresses
Primary practice location
648 Plank Rd
Clifton Park, NY 12065-2064
Mailing address
PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634
Other practice location 1
2 Empire Dr
Rensselaer, NY 12144-5730
Phone (518) 286-4992
Other practice location 2
147 Hoosick St
Troy, NY 12180-2393
Phone (518) 268-5749
Other names 1
- Danielle Poli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033233 | NY | MD | Pharmacist |
| 008968 | CT | MD | Physical Therapist |
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.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1134422322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890",
"telephone_number": "518-525-5634",
"fax_number": "518-649-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 PLANK RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120652064",
"telephone_number": "518-268-4800"
}
],
"practiceLocations": [
{
"address_1": "2 Empire Dr",
"address_purpose": "LOCATION",
"city": "Rensselaer",
"state": "NY",
"postal_code": "121445730",
"country_code": "US",
"telephone_number": "518-286-4992",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "147 Hoosick St",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802393",
"country_code": "US",
"telephone_number": "518-268-5749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETRONE",
"first_name": "DANIELLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-10",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008968",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "POLI",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.