Paul Daentl

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1938 Issued in WI

Practice address

1704 Menomonie St Apt 2
Eau Claire, WI 54703-6286

Phone

(952) 484-9718

NPI assigned

Jun 13, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1366892101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 MENOMONIE ST APT 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547036286",
            "telephone_number": "952-484-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MENOMONIE ST APT 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547036286",
            "telephone_number": "952-484-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAENTL",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1938",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Otis Czechowicz, D.D.S.
• Daniel E Czelatdko, DC
• D H C S C
• Jolene L. D'Huyvetter, NP
• Kyle Dachel
• Andrew Dahl, OD
• Kirk V. Dahl, MD
• Danielle Marie Dahlberg, APNP
• Madilyn Daino
• Camellia Dalai, MD

• Physical Therapy Assistant in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.