Active NPI
Danny August Woeckel, P.T.
- Physical Therapist
- Buffalo Grove, IL
National Provider Identifier
1457510190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-003772
- Practice address
- 1901 Brandywyn LN
Buffalo Grove, IL 60089-6693 - Phone
- (843) 685-0615
- NPI assigned
- Jun 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5657 | SC | |
| Physical Therapist | 225100000X | 11489 | NC | |
| Physical Therapist | 225100000X | 070-003772 | IL | Primary |
Addresses
Primary practice location
1901 Brandywyn LN
Buffalo Grove, IL 60089-6693
Mailing address
1901 Brandywyn LN
Buffalo Grove, IL 60089-6693
Phone (843) 685-0615
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-003772 | IL | MD | Physical Therapist |
| 5657 | SC | MD | Orientation and Mobility Training Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1457510190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 BRANDYWYN LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896693",
"telephone_number": "843-685-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 BRANDYWYN LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896693",
"telephone_number": "843-685-0615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOECKEL",
"first_name": "DANNY",
"middle_name": "AUGUST",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5657",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11489",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-003772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.