Danielle Elder, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2222-19 Issued in WI

Practice address

911 2ND Main St
Elroy, WI 53929-1129

Phone

(608) 344-0810

NPI assigned

Jan 11, 2016

Last updated

Jan 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Danielle Nowak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1487010138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 2ND MAIN ST",
            "city": "ELROY",
            "state": "WI",
            "postal_code": "539291129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 2ND MAIN ST",
            "city": "ELROY",
            "state": "WI",
            "postal_code": "539291129",
            "telephone_number": "608-344-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2222-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "NOWAK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jack Albert Besant, RPH
• Jessica Danielle Boyd, OTD. OTR/L, CLT
• C,J. Karas, D.D.S., S.C.
• Leah Deal-Schulz
• Edgewood Care Center Inc. (Heritage Manor)
• Elroy Area Fire & Ambulance Association Inc (Elroy Area Fire/Ambulance Assc)
• Daisy Faith Hansen, PTA
• Heritage Elroy Operations LLC (Heritage Manor of Elroy)
• Jack a Besant Inc (Fox Pharmacy)
• Christopher J. Karas, D.D.S.

• Physical Therapy Assistant in Elroy, WI
• Providers in Elroy, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.