Individual provider Active NPI

Danielle Girouard, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1336508050
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039012 Issued in NY
Practice address
22 W 48TH St FL 15
New York, NY 10036-1803
Phone
(212) 302-1112
Fax
(212) 302-1099
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039012 NY Primary

Addresses

Primary practice location

22 W 48TH St FL 15
New York, NY 10036-1803

Mailing address

22 W 48TH St FL 15
New York, NY 10036-1803
Phone (212) 302-1112

Other practice location 1

530 7th Ave
Suite 908
New York, NY 10018-4878
Phone (212) 840-3030

Other names 1

  • Danielle Kelly Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001015 NY Practitioner - Physical Therapist in Private Practice 6204135692 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Advantage Physical Therapy PCGroup PAC ID 5698818110, 14 clinicians
Long Island Premier Physical and Aquatic Therapy LLCGroup PAC ID 2769521228, 3 clinicians

Practice addresses (Care Compare)

3941 Bea CT
Oceanside, NY 11572-5907
Phone (516) 459-9439

58 Sunrise Hwy
Lindenhurst, NY 11757-2505
Phone (631) 991-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Home Advantage Physical Therapy PC Physical Therapist CurrentSince Jun 9, 2022 Accepting new patients
Sportscare Physical Therapy of Ny, P.C. Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
Long Island Premier Physical & Aquatic Therapy LLC CurrentSince Jun 1, 2021 Accepting new patients
Recovery Physical Therapy, PC Physical Therapist CurrentSince Apr 5, 2016 Accepting new patients

Locations

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

58 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 991-3311

22 W 48th St
Fl 15
New York, NY 10036
Phone (212) 302-1112

2 Perlman Dr
Spring Valley, NY 10977
Phone (845) 371-2032

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1336508050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W 48TH ST FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361803",
            "telephone_number": "212-302-1112",
            "fax_number": "212-302-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W 48TH ST FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361803",
            "telephone_number": "212-302-1112",
            "fax_number": "212-302-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 7th Ave",
            "address_2": "Suite 908",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100184878",
            "country_code": "US",
            "telephone_number": "212-840-3030",
            "fax_number": "212-840-3063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIROUARD",
        "first_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "KELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.