David P Dansereau, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT01557 Issued in RI

Practice address

1764 Mendon Rd
Suite 5
Cumberland, RI 02864-4392

Phone

(401) 241-2803

NPI assigned

Nov 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lepre Physical Therapy of Cumberland, LLC

  • Physical Therapist
  • Cumberland, RI
  • NPI 1033224324
  NPD

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1487809323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 MENDON RD",
            "address_2": "SUITE 5",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644392",
            "telephone_number": "401-241-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 MENDON RD",
            "address_2": "SUITE 5",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644392",
            "telephone_number": "401-241-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSEREAU",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT01557",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS LICENSE #",
            "identifier": "15260",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emily M Dabrosca, RPH
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• Ashley Paige Daniels, PTA, CKTP, CPS
• Susanne Danish, PHD
• Quang Dao, BS
• Darosa Dental
• Jonathan Villas Dela Luna, M.D.
• Elvira J Demarco
• Ian Joseph Dennen

• Physical Therapist in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.