Active NPI
Danielle Fauss, PT, DPT
- Physical Therapist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1319753
- Practice address
- 1901 Cooper St
Fort Worth, TX 76104-2546 - Phone
- (817) 877-8977
- NPI assigned
- Sep 2, 2018
- Last updated
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0015938 | CO | MD | Physical Therapist |
| 1319753 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Rehabilitation Specialists, Inc | Current | 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.
-
- Physical Therapy Clinic/Center
- Fort Worth, TX
- NPI 1003929357
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
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.