Individual provider Active NPI

Danielle Anne Halzack, DPT

  • Physical Therapist
  • Wallington, NJ
National Provider Identifier
1376931964
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
83 Lackawanna Ave Apt 83E
Wallington, NJ 07057-2047
Phone
(845) 741-6327
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

83 Lackawanna Ave Apt 83E
Wallington, NJ 07057-2047

Mailing address

83 Lackawanna Ave Apt 83E
Wallington, NJ 07057-2047
Phone (845) 741-6327

Other practice location 1

87 E Main St Ste 1
Washingtonville, NY 10992-1279
Phone (845) 495-0517

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222000758 NJ Practitioner - Physical Therapist in Private Practice 2264750710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

Organizations & group practices 1

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1376931964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 LACKAWANNA AVE APT 83E",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070572047",
            "telephone_number": "845-741-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 LACKAWANNA AVE APT 83E",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070572047",
            "telephone_number": "845-741-6327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 E Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Washingtonville",
            "state": "NY",
            "postal_code": "109921279",
            "country_code": "US",
            "telephone_number": "845-495-0517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALZACK",
        "first_name": "DANIELLE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.