Individual provider Active NPI

Danelle Kwis, MPT

  • Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1508854316
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01144200 Issued in NJ
Practice address
1004 Haddonfield Rd
Cherry Hill, NJ 08002-2746
Phone
(856) 662-2336
NPI assigned
Oct 6, 2005
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA01144200 NJ
Physical Therapist 225100000X 40QA01144200 NJ Primary

Addresses

Primary practice location

1004 Haddonfield Rd
Cherry Hill, NJ 08002-2746

Mailing address

60 Chippenham Dr
Voorhees, NJ 08043-4741
Phone (999) 999-9999

Other identifiers 1

IdentifierTypeStateIssuer
PT 22 5100000XOtherNJPT 22 5100000X

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014000079 NJ Practitioner - Physical Therapist in Private Practice 6406276450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01144200NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Nov 20, 2023 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Nov 20, 2023 Accepting new patients
Rehabclinics SPT Inc CurrentSince Apr 1, 2020 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320

1004 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (609) 662-7733

999 Route 73 N
Ste 401
Marlton, NJ 08053

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1508854316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHIPPENHAM DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434741",
            "telephone_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 HADDONFIELD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022746",
            "telephone_number": "856-662-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIS",
        "first_name": "DANELLE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01144200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01144200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT 22  5100000X",
            "identifier": "PT 22  5100000X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.

Verify at the official NPI Registry.