Individual provider Active NPI

Daniela Flores, PT, DPT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1215635545
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT031030 Issued in PA
Practice address
5121 Zuck Rd
Erie, PA 16506-4950
Phone
(814) 836-0600
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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 PT031030 PA Primary

Addresses

Primary practice location

5121 Zuck Rd
Erie, PA 16506-4950

Mailing address

4027 Ridge Pkwy
Erie, PA 16510-3227

Other practice location 1

1717 E 38th St
Erie, PA 16510-3411
Phone (814) 899-1023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231107000180 MD Practitioner - Physical Therapist in Private Practice 4981051364 Reassigns benefits to 1 organization
I20250422000464 DC Practitioner - Physical Therapist in Private Practice 4981051364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Physical Therapy and Wellness LLCGroup PAC ID 4789860131, 24 clinicians

Practice addresses (Care Compare)

11055 Little Patuxent Pkwy
Suite L4
Columbia, MD 21044-2897
Phone (410) 992-9399

13247 Executive Park Ter
Suite 21 22G
Germantown, MD 20874-2648
Phone (301) 720-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29555MDMDPharmacist
PT031030PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Nov 25, 2023 Accepting new patients
Sports Physical Therapy of Towson, P.a. Physical Therapist PastSince Oct 1, 1994 Accepting new patients
Rehabclinics Galaxy Inc PastSince Feb 19, 2023 Accepting new patients
Novacare Outpatient Rehabilitation East Inc PastSince Feb 19, 2023 Accepting new patients

Locations

11055 Little Patuxent Pkwy
Ste L4
Columbia, MD 21044
Phone (410) 992-9399

12788 Old Fort Rd
Ft Washington, MD 20744
Phone (301) 292-0207

13247 Executive Park Ter
Ste 2122G
Germantown, MD 20874
Phone (301) 720-0370

7801 York Rd
Ste 236
Towson, MD 21204
Phone (410) 583-0333

3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1215635545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 RIDGE PKWY",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064950",
            "telephone_number": "814-836-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 E 38th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165103411",
            "country_code": "US",
            "telephone_number": "814-899-1023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "DANIELA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.