Active NPI
Danielle V McRae, DPT
- Orthopedic Physical Therapist
- Shreveport, LA
National Provider Identifier
1487826566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 07349
- Practice address
- 2120 Bert Kouns Loop
Suite B
Shreveport, LA 71118-3351 - Phone
- (318) 687-4156
- Fax
- (318) 687-9755
- NPI assigned
- Mar 28, 2008
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 07349 | LA | Primary |
Addresses
Primary practice location
2120 Bert Kouns Loop
Suite B
Shreveport, LA 71118-3351
Mailing address
2820 Hearne Ave
Shreveport, LA 71103-3934
Phone (318) 631-7999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
103 Bonaire Dr
Panama City Beach, FL 32413-6006
Phone (850) 353-1305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile PT LLC | Current | Accepting new patients | |
| Mobile PT LLC | Orthopedic | Current | Accepting new patients |
| Visitry Florida LLC | Orthopedic | Current | Accepting new patients |
| Tri-State Physical Therapy Number 1 Inc | Orthopedic | Past | Accepting new patients |
| Tri-State Physical Therapy #5 Inc | Past | Accepting new patients |
Locations
802 E Whiting St
Tampa, FL 33602
Phone (716) 523-1783
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Panama City Beach, FL
- NPI 1417763475
-
- Physical Therapy Clinic/Center
- Shreveport, LA
- NPI 1982655130
-
- Physical Therapy Clinic/Center
- Shreveport, LA
- NPI 1326099540
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1487826566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 HEARNE AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033934",
"telephone_number": "318-631-7999",
"fax_number": "318-635-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 BERT KOUNS LOOP",
"address_2": "SUITE B",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183351",
"telephone_number": "318-687-4156",
"fax_number": "318-687-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCRAE",
"first_name": "DANIELLE",
"middle_name": "V",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "LA",
"license": "07349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.