Individual provider Active NPI

Danielle Carice Donovan

  • Physical Medicine & Rehabilitation Physician
  • Sulphur, LA
National Provider Identifier
1285426346
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
12019 Issued in LA
Practice address
522 Cypress St
Sulphur, LA 70663-5050
Phone
(337) 533-8410
Fax
(337) 533-8411
NPI assigned
May 22, 2025
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 12019 LA Primary

Addresses

Primary practice location

522 Cypress St
Sulphur, LA 70663-5050

Mailing address

522 Cypress St
Sulphur, LA 70663-5050
Phone (337) 533-8410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717004348 LA Practitioner - Physical Therapist in Private Practice 0143736108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxx Therapy of Lake Charles LLCGroup PAC ID 5395271464, 7 clinicians
Stelly Physical Andoccupational TherapyGroup PAC ID 1153406210, 5 clinicians

Practice addresses (Care Compare)

1714 Wolf Cir
Lake Charles, LA 70605-2353
Phone (337) 508-2505

522 Cypress St
Sulphur, LA 70663-5050
Phone 33753384103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stelly Physical &Occupational Therapy Single Specialty CurrentSince Jun 9, 2025 Accepting new patients

Locations

522 Cypress St
Sulphur, LA 70663
Phone (337) 533-8410

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1285426346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635050",
            "telephone_number": "337-533-8410",
            "fax_number": "337-533-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635050",
            "telephone_number": "337-533-8410",
            "fax_number": "337-533-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "DANIELLE",
        "middle_name": "CARICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "12019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.