Individual provider Active NPI

Lance Danos, PT, DPT

  • Physical Therapist
  • Haughton, LA
National Provider Identifier
1609480920
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09964 Issued in LA
Practice address
4615 US-80
#9
Haughton, LA 71037
Phone
(318) 615-3003
NPI assigned
Sep 3, 2020
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 09964 LA Primary

Addresses

Primary practice location

4615 US-80
#9
Haughton, LA 71037

Mailing address

4615 US-80
#9
Haughton, LA 71037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007002767 LA Practitioner - Physical Therapist in Private Practice 7214356476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therateam Outpatient Services, LLCGroup PAC ID 5597995233, 3 clinicians

Practice addresses (Care Compare)

4615 Hwy 80
Suite 9
Haughton, LA 71037-7480
Phone (318) 615-3003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09964LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therateam Outpatient Services, LLC Physical Therapist CurrentSince Sep 3, 2020 Accepting new patients

Locations

1700 Old Minden Rd
Ste 180
Bossier City, LA 71111
Phone (318) 562-3944

4615 Highway 80
Ste 9
Haughton, LA 71037
Phone (318) 518-0548

6723 Pines Rd
Shreveport, LA 71129

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1609480920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 US-80",
            "address_2": "#9",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "71037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 US-80",
            "address_2": "#9",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "71037",
            "telephone_number": "318-615-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANOS",
        "first_name": "LANCE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haughton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.