Individual provider Active NPI

Danielle Pasquale

  • Physical Therapist
  • Cos Cob, CT
National Provider Identifier
1164024378
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12934 Issued in CT
Practice address
35 River Rd
Cos Cob, CT 06807-2759
Phone
(203) 422-0679
Fax
(203) 621-3162
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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 12934 CT Primary

Addresses

Primary practice location

35 River Rd
Cos Cob, CT 06807-2759

Mailing address

PO Box 402
Cos Cob, CT 06807-0402
Phone (203) 553-7626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210216001032 CT Practitioner - Physical Therapist in Private Practice 9638584154 Reassigns benefits to 5 organizations
I20220928003087 FL Practitioner - Physical Therapist in Private Practice 9638584154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Optimal Health LLC Physical Therapist CurrentSince Sep 6, 2022 Accepting new patients
Performance Physical Therapy of Darien LLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Performance Physical Therapy of Westport LLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Performance Physical Therapy of New Canaan, PLLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Performance Physical Therapy of Hamden LLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients

Locations

800 Post Rd
#3A
Darien, CT 06820
Phone (203) 202-2703

16 Cross St
New Canaan, CT 06840
Phone (203) 228-5010

1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626

508 Westport Ave
Norwalk, CT 06851
Phone (203) 553-7626

9 W Broad St
Ste 100
Stamford, CT 06902

2260 Logan Blvd N
Unit 302
Naples, FL 34119
Phone (239) 342-1340

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1164024378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068070402",
            "telephone_number": "203-553-7626",
            "fax_number": "203-621-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RIVER RD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072759",
            "telephone_number": "203-422-0679",
            "fax_number": "203-621-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUALE",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cos Cob, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.

Verify at the official NPI Registry.