Active NPI
Donna Susan McQuade, P.T.
- Physical Therapist
- Ormond Beach, FL
National Provider Identifier
1386932648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12382
- Practice address
- 5 Slow Stream Way
Ormond Beach, FL 32174-1826 - Phone
- (386) 677-4816
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12382 | FL | Primary |
Addresses
Primary practice location
5 Slow Stream Way
Ormond Beach, FL 32174-1826
Mailing address
5 Slow Stream Way
Ormond Beach, FL 32174
Phone (386) 677-4816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12382 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1386932648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SLOW STREAM WAY",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "32174",
"telephone_number": "386-677-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SLOW STREAM WAY",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321741826",
"telephone_number": "386-677-4816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUADE",
"first_name": "DONNA",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "12382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.