Individual provider Active NPI

Danika Henkel, PT, DPT

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1295379253
Registry record updated Nov 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297509 Issued in CA
Practice address
22 Corporate Plaza Dr # 113
Newport Beach, CA 92660-7985
Phone
(949) 722-5054
NPI assigned
Nov 3, 2019
Last updated
Nov 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL0016186 CO
Physical Therapist 225100000X 297509 CA Primary

Addresses

Primary practice location

22 Corporate Plaza Dr # 113
Newport Beach, CA 92660-7985

Mailing address

23 Lee
Irvine, CA 92620-6202
Phone (540) 539-5011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200120000217 CA Practitioner - Physical Therapist in Private Practice 7911332028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Mesisca Physical Therapy IncGroup PAC ID 6406749548, 11 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

27722 Rosebud Way
Laguna Niguel, CA 92677-6014
Phone (714) 281-0169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL0016186COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Therapy Solutions CurrentSince Nov 19, 2019 Accepting new patients
California Therapy Solutions Physical Therapist CurrentSince Nov 19, 2019 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jun 15, 2022 Accepting new patients
Mesisca Physical Therapy Inc Physical Therapist CurrentSince Jun 2, 2020 Accepting new patients
JM Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

485 E 17th St
Ste 650
Costa Mesa, CA 92627
Phone (949) 722-7374

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

22 Corporate Plaza Dr
#113
Newport Beach, CA 92660
Phone (949) 722-5054

Organizations & group practices 5

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": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1295379253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LEE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926206202",
            "telephone_number": "540-539-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CORPORATE PLAZA DR # 113",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607985",
            "telephone_number": "949-722-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKEL",
        "first_name": "DANIKA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0016186",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; 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.