Individual provider Active NPI

Danielle Fauss, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1386126738
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1319753 Issued in TX
Practice address
1901 Cooper St
Fort Worth, TX 76104-2546
Phone
(817) 877-8977
NPI assigned
Sep 2, 2018
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0015938 CO
Physical Therapist 225100000X 1319753 TX Primary

Addresses

Primary practice location

1901 Cooper St
Fort Worth, TX 76104-2546

Mailing address

1517 Cherry Bark Dr
Keller, TX 76248-2062
Phone (515) 724-2942

Other practice location 1

12207 N Pecos St Ste 600
Westminster, CO 80234
Phone (303) 561-0447

Other practice location 2

222 E Colorado Blvd
Dallas, TX 75203-1212
Phone (214) 946-3055

Other practice location 3

3107 W Camp Wisdom Rd Ste 131
Dallas, TX 75237
Phone (214) 339-4533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201201000420 TX Practitioner - Physical Therapist in Private Practice 5799196515 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
Sports Rehabilitation Specialists, IncGroup PAC ID 1759337744, 3 clinicians

Practice addresses (Care Compare)

1901 Cooper St
Fort Worth, TX 76104-2546
Phone (817) 877-8977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0015938COMDPhysical Therapist
1319753TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Rehabilitation Specialists, Inc CurrentSince Nov 4, 2020 Accepting new patients
Bir JV LLP Past Accepting new patients

Locations

1901 Cooper St
Ft Worth, TX 76104
Phone (817) 877-8977

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1535846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1386126738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 CHERRY BARK DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482062",
            "telephone_number": "515-724-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 COOPER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042546",
            "telephone_number": "817-877-8977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12207 N Pecos St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "80234",
            "country_code": "US",
            "telephone_number": "303-561-0447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 E Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752031212",
            "country_code": "US",
            "telephone_number": "214-946-3055",
            "fax_number": "214-946-3094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3107 W Camp Wisdom Rd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75237",
            "country_code": "US",
            "telephone_number": "214-339-4533",
            "fax_number": "214-339-4738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUSS",
        "first_name": "DANIELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-02",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015938",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1319753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.