Individual provider Active NPI

Danica Dalmacion, PT, DPT

  • Physical Therapist
  • Effingham, IL
National Provider Identifier
1194489526
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
204 Greenview Dr Apt 5B
Effingham, IL 62401-3037
Phone
(347) 208-1172
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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 Primary

Addresses

Primary practice location

204 Greenview Dr Apt 5B
Effingham, IL 62401-3037

Mailing address

204 Greenview Dr Apt 5B
Effingham, IL 62401-3037
Phone (347) 208-1172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204001421 IL Practitioner - Physical Therapist in Private Practice 1456744952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Home Therapy LLCGroup PAC ID 5799178968, 18 clinicians

Practice addresses (Care Compare)

8140 McCormick Blvd
Suite 141
Skokie, IL 60076-2920
Phone (917) 751-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Dec 21, 2021 Accepting new patients
Illinois Home Therapy LLC Physical Therapist CurrentSince Nov 11, 2023 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Dec 21, 2021 Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

2800 Desplaines Ave
Riverside, IL 60546
Phone (708) 443-4217

8140 McCormick Blvd
Ste 141
Skokie, IL 60076
Phone (833) 272-8624

Organizations & group practices 4

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": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1194489526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GREENVIEW DR APT 5B",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013037",
            "telephone_number": "347-208-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GREENVIEW DR APT 5B",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013037",
            "telephone_number": "347-208-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALMACION",
        "first_name": "DANICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.