Danielle Anderson, DPT, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT014392 Issued in GA

Practice address

2146 Thompson Ave SE
Covington, GA 30014-2819

Phone

(770) 605-6510

NPI assigned

Nov 12, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moving Mountains Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Covington, GA
  • NPI 1396381505
  NPD Authorized official

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1508401704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 THOMPSON AVE SE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142819",
            "telephone_number": "770-605-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 THOMPSON AVE SE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142819",
            "telephone_number": "770-605-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DANIELLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT014392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amedisys Georgia, L.L.C.
• Amelias Hands Home Care Services LLC
• Amethyst Mobile Services LLC
• Charles Anthony Ancrum, RN
• Amie Parks Anderson, RPH
• Dawntril Tamesia-Reid Anderson, RPH
• Michael Anderson, LPC
• Monica Anderson, CA
• Monica Lanee Anderson
• Andrea J. Washington O.D. PC

• All providers in Covington, GA
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.