Starrla Donavanik, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A4974 Issued in MD

Practice address

1576 Merritt Blvd Ste 7
Baltimore, MD 21222-2114

Phone

(410) 650-2145

NPI assigned

Mar 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1235632530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WHEATON PL APT E",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283316",
            "telephone_number": "443-904-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 7",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "410-650-2145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5009 Honeygo Center Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Perry Hall",
            "state": "MD",
            "postal_code": "211289842",
            "country_code": "US",
            "telephone_number": "443-725-2150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18109 Prince Philip Dr Ste 155",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321591",
            "country_code": "US",
            "telephone_number": "855-546-1849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONAVANIK",
        "first_name": "STARRLA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Donaldson, OTA
• Elise Donatelli, NP
• Lucia S Donatelli, MD
• Aryn Donatello, RN
• Amy Donato Miller
• Sophie Dondasse
• Laura A Donegan, M.D.
• Lisa Donegan, NP-C
• Margaret Scott Donegan, LCSW-C
• Robert B Donegan, M.D.

• Physical Therapy Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.