Dave Aaron Dangan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36414 Issued in FL

Practice address

1750 Longleaf Blvd Ste 5&6
Lake Wales, FL 33859-2504

Phone

(863) 678-0705

Fax

(863) 678-0700

NPI assigned

Oct 21, 2020

Sex

Male

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Rehabilitation IncGroup PAC ID 9234364902, 4 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.

• Core Rehabilitation Inc.

  • Physical Therapist
  • Lake Wales, FL
  • NPI 1710325469
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1164021176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 LONGLEAF BLVD STE 5&6",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338592504",
            "telephone_number": "863-678-0705",
            "fax_number": "863-678-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 LONGLEAF BLVD STE 5&6",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338592504",
            "telephone_number": "863-678-0705",
            "fax_number": "863-678-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Maxcy Plaza Cir",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338442488",
            "country_code": "US",
            "telephone_number": "863-421-2000",
            "fax_number": "863-421-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANGAN",
        "first_name": "DAVE",
        "middle_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Rehabilitation Inc.
• Cortes DDS Ms 7 LLC
• Victoria Crabb, PT
• Michael F Cunningham
• Patrick Dammar, PHARMD
• Kenneth Donald Daniels, BS,PHARMD
• Joseph Darazi
• D Davenport, PSY.D.
• Cessenie Davis
• Elease Davis

• Physical Therapist in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.