Individual provider Active NPI

Courtney Daman, PT, DPT

  • Physical Therapist
  • Yuma, AZ
National Provider Identifier
1356828115
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11509 S Fortuna Rd
Yuma, AZ 85367-7857
Phone
(928) 342-8767
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 Primary

Addresses

Primary practice location

11509 S Fortuna Rd
Yuma, AZ 85367-7857

Mailing address

11375 Newburg Dr
Sterling Heights, MI 48313-4949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024002282 MI Practitioner - Physical Therapist in Private Practice 6305178351 Reassigns benefits to 1 organization

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
Compass Healthcare, PLLCGroup PAC ID 6002045895, 23 clinicians

Practice addresses (Care Compare)

250 E Saginaw St
East Lansing, MI 48823-2740
Phone (517) 337-3080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Healthcare PLC CurrentSince Sep 1, 2019 Accepting new patients
Compass Healthcare, PLLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Quality Rehabilitation Network Inc Physical Therapist PastSince Dec 29, 2019 Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

1575 Ramblewood Dr
Ste 200
East Lansing, MI 48823
Phone (517) 827-1800

2175 Coolidge Rd
East Lansing, MI 48823
Phone (517) 349-1379

250 E Saginaw St
East Lansing, MI 48823
Phone (517) 337-3080

1575 Ramblewood Dr
Ste 100
East Lansing, MI 48823
Phone (517) 364-3659

Organizations & group practices 4

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1356828115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11375 NEWBURG DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11509 S FORTUNA RD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677857",
            "telephone_number": "928-342-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMAN",
        "first_name": "COURTNEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.