Individual provider Active NPI

Danielle Limparis, PTA

  • Physical Therapy Assistant
  • Mint Hill, NC
National Provider Identifier
1548790967
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A5443 Issued in NC
Practice address
10506 Clear Creek Commerce Dr
Mint Hill, NC 28227-7078
Phone
(704) 858-5591
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X A5443 NC Primary

Addresses

Primary practice location

10506 Clear Creek Commerce Dr
Mint Hill, NC 28227-7078

Mailing address

10819 Lamesa PL
Huntersville, NC 28078-7865
Phone (704) 858-5591

Other practice location 1

3700 Taylor Glen Ln NW
Concord, NC 28027-3400
Phone (704) 858-5591

Other identifiers 1

IdentifierTypeStateIssuer
A5443OtherNCNC BOARD OF PHYSICAL THERAPY EXAMINERS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A5443NCMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548790967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10819 LAMESA PL",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787865",
            "telephone_number": "704-858-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 CLEAR CREEK COMMERCE DR",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277078",
            "telephone_number": "704-858-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Taylor Glen Ln NW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280273400",
            "country_code": "US",
            "telephone_number": "704-858-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIMPARIS",
        "first_name": "DANIELLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "A5443",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.