Danah Jack, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22653 Issued in MD

Practice address

4070 Atterbury Place
Frederick, MD 21704

Phone

(240) 409-9611

NPI assigned

Aug 29, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

George Washington University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Health and Rehab LLC 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Metro Health and Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Frederick, MD
  • NPI 1508335175

  DC, MD, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Rehabneeds

  • Physical Therapy Clinic/Center
  • Rockville, MD
  • NPI 1891046934

  DC, Physical Therapist

  Medicare reassignment NPD
• Medhub Healthcare Inc

  • Registered Nurse
  • Frederick, MD
  • NPI 1619586807

  Physical Therapist

  NPD Authorized official
• Metro Health and Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Frederick, MD
  • NPI 1134926827
  NPD Authorized official

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1144747148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 ATTERBURY PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21704",
            "telephone_number": "240-409-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 ATTERBURY PLACE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21704",
            "telephone_number": "240-409-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "DANAH",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dereck Ivey
• Rosalie Iyelie, NP
• J. Christopher Henry, M.D., LLC
• J'S Compassionate Care LLC.
• Maya Jaajah
• Ayana Jackson, LCSW-C
• Dennise Jackson
• Michelle Jackson
• Regina Jackson
• Rhonda L. Jackson, LCSW-C

• All providers in Frederick, MD
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.