Active NPI
Danielle Rose Bertke
- Physical Therapist
- Anna, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021290
- Practice address
- 515 E Main St Ste D
Anna, OH 45302-9440 - Phone
- (937) 639-2063
- NPI assigned
- Aug 5, 2024
- Last updated
- Aug 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT021290 | OH | Primary |
Addresses
Primary practice location
515 E Main St Ste D
Anna, OH 45302-9440
Mailing address
515 E Main St Ste D
Anna, OH 45302-9440
Phone (937) 639-2063
Other practice location 1
830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone (937) 890-9235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 E Main St
Suite D
Anna, OH 45302-9440
Phone (937) 639-2063
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT021290 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xcel Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Xcel Sports Medicine | Current | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
515 E Main St
Ste D
Anna, OH 45302
Phone (937) 639-2063
3916 Indian Ripple Rd
Dayton, OH 45440
3916 Indian Ripple Rd
Ste 150
Dayton, OH 45440
Phone (937) 702-9735
830 Falls Creek Dr
Vandalia, OH 45377
Phone (937) 890-9235
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
- Vandalia, OH
- NPI 1396334462
Physical Therapist
-
- Physical Therapy Clinic/Center
- Vandalia, OH
- NPI 1811296833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1487484549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E MAIN ST STE D",
"city": "ANNA",
"state": "OH",
"postal_code": "453029440",
"telephone_number": "937-639-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E MAIN ST STE D",
"city": "ANNA",
"state": "OH",
"postal_code": "453029440",
"telephone_number": "937-639-2063"
}
],
"practiceLocations": [
{
"address_1": "830 Falls Creek Dr",
"address_purpose": "LOCATION",
"city": "Vandalia",
"state": "OH",
"postal_code": "453778600",
"country_code": "US",
"telephone_number": "937-890-9235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERTKE",
"first_name": "DANIELLE",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT021290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.