Individual provider Active NPI

Danny E. Fleener, P.T.

  • Physical Therapist
  • Moline, IL
National Provider Identifier
1548210784
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-013229 Issued in IL
Practice address
4439 Avenue of the Cities
Moline, IL 61265-4549
Phone
(309) 743-0106
Fax
(309) 743-0108
NPI assigned
May 10, 2006
Last updated
Apr 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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 070-013229 IL Primary

Addresses

Primary practice location

4439 Avenue of the Cities
Moline, IL 61265-4549

Mailing address

850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070

Other identifiers 1

IdentifierTypeStateIssuer
070-013229OtherILILLINOIS PT LICENSE NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080321000137 IL Practitioner - Physical Therapist in Private Practice 1658457304 Reassigns benefits to 1 organization
I20160415000102 IA Practitioner - Physical Therapist in Private Practice 1658457304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3385 Dexter CT
Suite 203
Davenport, IA 52807-3471
Phone (563) 332-9312

3800 Ave of the Cities
Suite 107
Moline, IL 61265-4424
Phone (309) 743-0106

850 43Rd Ave
Moline, IL 61265-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-013229ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Mar 1, 2008 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Mar 1, 2008 Accepting new patients

Locations

1705 N Ankeny Blvd
Ste A
Ankeny, IA 50023
Phone (515) 446-0733

1427 S Washington Blvd
Camanche, IA 52730
Phone (563) 259-4440

2635 Lincoln Way
Ste C
Clinton, IA 52732
Phone (563) 243-8321

3385 Dexter Ct
Ste 203
Davenport, IA 52807
Phone (563) 332-9312

1905 Ingersoll Ave
Ste 104
Des Moines, IA 50309
Phone (515) 369-2306

3414 Northport Dr
Ste 2
Muscatine, IA 52761
Phone (563) 263-2639

419 W Bridge Rd
Ste A
Polk City, IA 50226
Phone (515) 984-6377

5700 University Ave
Ste 222
West Des Moines, IA 50266
Phone (309) 743-2070

3800 Avenue of the Cities
Ste 107
Moline, IL 61265
Phone (309) 743-0106

4200 24th Ave
Moline, IL 61265
Phone (309) 762-1212

4439 Avenue of the Cities
Moline, IL 61265
Phone (309) 743-0106

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

850 43rd Ave
Ste 200
Moline, IL 61265
Phone (309) 743-0300

850 43rd Ave
Ste 300
Moline, IL 61265
Phone (309) 743-0300

9901 N Knoxville Ave
Ste D
Peoria, IL 61615
Phone (309) 243-1989

1013 N Cummings Ln
Washington, IL 61571
Phone (309) 444-1030

Organizations & group practices 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1548210784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654549",
            "telephone_number": "309-743-0106",
            "fax_number": "309-743-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEENER",
        "first_name": "DANNY",
        "middle_name": "E.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-013229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PT LICENSE NO",
            "identifier": "070-013229",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.