Individual provider Active NPI

Danielle Justine Thornsberry, DO

  • Sports Medicine (Family Medicine) Physician
  • Athens, OH
National Provider Identifier
1255891891
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
05-47756 Issued in KS
Practice address
75 Hospital Dr Ste 140
Athens, OH 45701-2858
Phone
(740) 566-4720
Fax
(740) 566-4721
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 05-47756 KS Primary
Family Medicine Physician 207Q00000X 34.015287 OH

Addresses

Primary practice location

75 Hospital Dr Ste 140
Athens, OH 45701-2858

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (740) 566-4720

Other practice location 1

1105 Sunset Ave
Manhattan, KS 66502-3739
Phone (785) 532-6544

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dthornsberry349489@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903002575 OH Practitioner - Family Practice 8325381783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

75 Hospital Dr
Suite 140
Athens, OH 45701-2858
Phone (740) 566-4657

Hospital & facility affiliations

  • Ohiohealth O'Bleness Hospital Hospital, Athens, OH, CCN 360014

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-47756KSMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Sep 1, 2024 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

75 Hospital Dr
Ste 140
Athens, OH 45701
Phone (740) 566-4720

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

Interoperability endpoints

  • Direct secure messaging: danielle.thornsberry.1@19222.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1255891891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "740-566-4720",
            "fax_number": "740-566-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DR STE 140",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012858",
            "telephone_number": "740-566-4720",
            "fax_number": "740-566-4721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665023739",
            "country_code": "US",
            "telephone_number": "785-532-6544",
            "fax_number": "855-618-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNSBERRY",
        "first_name": "DANIELLE",
        "middle_name": "JUSTINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "05-47756",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dthornsberry349489@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "75 Hospital Dr Ste 140",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457012858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.