Individual provider Active NPI

Danielle Shugard, DPT

  • Physical Therapist
  • Loxahatchee, FL
National Provider Identifier
1609241793
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01400300 Issued in NJ
Practice address
1061 Deer Haven Dr
Loxahatchee, FL 33470-6046
Phone
(732) 778-6628
NPI assigned
Dec 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 40QA01400300 NJ Primary

Addresses

Primary practice location

1061 Deer Haven Dr
Loxahatchee, FL 33470-6046

Mailing address

1061 Deer Haven Dr
Loxahatchee, FL 33470-6046
Phone (732) 778-6628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160215002691 NJ Practitioner - Physical Therapist in Private Practice 1052615820 Practice locations: Chesterfield, NJ
I20221005003683 FL Practitioner - Physical Therapist in Private Practice 1052615820 Reassigns benefits to 1 organization
Practice locations: Loxahatchee, FL

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spinal Health Performance, Inc.Group PAC ID 1658526611, 3 clinicians

Practice addresses (Care Compare)

603 Village Blvd
Suite 303
West Palm Beach, FL 33409-1973
Phone (561) 684-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health Performance, Inc. Physical Therapist CurrentSince Nov 22, 2022 Accepting new patients

Locations

603 Village Blvd
Ste 303
West Palm Beach, FL 33409
Phone (561) 684-9200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1609241793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 DEER HAVEN DR",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334706046",
            "telephone_number": "732-778-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 DEER HAVEN DR",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334706046",
            "telephone_number": "732-778-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUGARD",
        "first_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01400300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.