Individual provider Active NPI

Danielle F Garces de Marcilla, DPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1558104364
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39967 Issued in FL
Practice address
15449 SW 137TH Ave
Miami, FL 33177-1279
Phone
(305) 602-7035
NPI assigned
Jun 18, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 PT39967 FL Primary

Addresses

Primary practice location

15449 SW 137TH Ave
Miami, FL 33177-1279

Mailing address

10928 SW 135TH Court Cir
Miami, FL 33186-3341
Phone (786) 281-6892

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
PT39967FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc PastSince Jun 23, 2024 Accepting new patients

Organizations & group practices 1

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1558104364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 SW 135TH COURT CIR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863341",
            "telephone_number": "786-281-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15449 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771279",
            "telephone_number": "305-602-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCES DE MARCILLA",
        "first_name": "DANIELLE",
        "middle_name": "F",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.