Danielle Khoury, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT4761 Issued in AR

Practice address

1013 Chancery LN
Cave Springs, AR 72718

Phone

(214) 232-4169

NPI assigned

Mar 29, 2018

Last updated

Apr 9, 2022By the provider in NPPES

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

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Louisiana State University School of Medicine in Shreveport, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pelvic Roots Physical Therapy PLLCGroup PAC ID 6507374980, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pelvic Roots Physical Therapy PLLC

  • Orthopedic Physical Therapist
  • Cave Springs, AR
  • NPI 1235844515
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1316442494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CHANCERY LN",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727189104",
            "telephone_number": "214-232-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CHANCERY LN",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "72718",
            "telephone_number": "214-232-4169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5349 Adams Ave Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844054736",
            "country_code": "US",
            "telephone_number": "801-479-9865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "10677591-2401",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AR",
            "license": "PT4761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryder Blake Harrison
• Moriah Harvey
• Andrew David Hudspeth
• Madeleine Johnson
• Nicholas Ray Jones
• Sarah Elizabeth La Tour
• Mary Lee, MS, CCC-SLP
• Kelly Ann Long
• McKenzie Katherine Lynch
• Main Street Endocrinology, PLLC (Main Street Medical Associates)

• Orthopedic Physical Therapist in Cave Springs, AR
• Providers in Cave Springs, AR by specialty
• Orthopedic Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.