Danielle Helene Licari, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5017 Issued in SC

Practice address

1476 Long Grove Dr
Mt Pleasant, SC 29464-7571

Phone

(843) 216-3534

Fax

(843) 216-3576

NPI assigned

Jul 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Danielle Helene Gilliatt Former name

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.

• Triple Crown of Mt Pleasant LLC

  • Physical Therapy Clinic/Center
  • Mt Pleasant, SC
  • NPI 1306288261

  Physical Therapist

  NPD
• Coastal Dermatology, LLC

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1164690822
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1538501424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 LONG GROVE DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647571",
            "telephone_number": "843-216-3534",
            "fax_number": "843-216-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 LONG GROVE DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647571",
            "telephone_number": "843-216-3534",
            "fax_number": "843-216-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICARI",
        "first_name": "DANIELLE",
        "middle_name": "HELENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5017",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "GILLIATT",
            "middle_name": "HELENE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheldon C Levin, PH D
• Yulia Levin, PHARMD
• Shea Levitan, D.C.
• Karen Lewis, LPCA
• Michael D Lewis, LPC
• Life Essentials Health Center LLC
• Life Essentials Health Solutions LLC
• Life Smiles Dentistry
• Lighthouse Family Chiropractic, LLC
• Lighthouse Pediatric Therapy, LLC

• Physical Therapist in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.