Denali Therapeutics

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

9608 Issued in NC

Legal business name

DENALI THERAPEUTICS

Practice address

1407 Skyler Dr
Waxhaw, NC 28173-6762

Phone

(704) 771-9153

Fax

(704) 353-7246

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Gary Of, PT

Title

Member Manager

Phone

(704) 771-9153

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1154608271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 SKYLER DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736762",
            "telephone_number": "704-771-9153",
            "fax_number": "704-353-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SKYLER DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736762",
            "telephone_number": "704-771-9153",
            "fax_number": "704-353-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "OF",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "704-771-9153",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "9608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Degangi, M.A., CCC-SLP
• Karen Degraaf, LPC
• Rachel Marie Delany, MSW, LCSWA
• Marissa Delaurentiis, PT, DPT
• Sherry Demaison, FNP
• Joan Marie Dickey, RN, FNP
• Hannah Dietz, M.S. CCC-SLP
• William Barnett Dixon Jr., R. PH.
• Thomas Doohan
• Kaitlyn Dorval

• Physical Therapy Clinic/Center in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.