Individual provider Active NPI

Daphne Ross, PT, PRPC, WCS

  • Physical Therapist
  • Lafayette, CA
National Provider Identifier
1528509221
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35702 Issued in CA
Practice address
250 Lafayette Cir Ste 107
Lafayette, CA 94549-4389
Phone
(510) 255-3865
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 35702 CA Primary

Addresses

Primary practice location

250 Lafayette Cir Ste 107
Lafayette, CA 94549-4389

Mailing address

933 Grosvenor PL
Oakland, CA 94610-2510
Phone (510) 255-3865

Other names 1

  • Mrs. Daphna Ross Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35702CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1528509221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 GROSVENOR PL",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102510",
            "telephone_number": "510-255-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LAFAYETTE CIR STE 107",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494389",
            "telephone_number": "510-255-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "DAPHNE",
        "name_prefix": "Mrs.",
        "credential": "PT, PRPC, WCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAPHNA",
            "last_name": "ROSS",
            "prefix": "MRS.",
            "credential": "PT, PRPC, WCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.