Individual provider Active NPI

Danielle R Cullen, MPT

  • Physical Therapist
  • Midlothian, TX
National Provider Identifier
1619252731
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1230867 Issued in TX
Practice address
2613 Grouse Hollow Way
Midlothian, TX 76065-5988
Phone
(314) 322-1511
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1230867 TX Primary
Physical Therapist 225100000X 2002007673 MO

Addresses

Primary practice location

2613 Grouse Hollow Way
Midlothian, TX 76065-5988

Mailing address

2613 Grouse Hollow Way
Midlothian, TX 76065-5988
Phone (314) 322-1511

Other practice location 1

790 N Highway 67
Florissant, MO 63031-5108
Phone (314) 972-1442

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002007673MOMDPhysical Therapist
1230867TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Rehab Partners, LP Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Vista Rehab Partners, LP Physical Therapist Current Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jul 1, 2018 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Vista Rehab Partners LP Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Vista Rehab Partners, LP Physical Therapist Past Accepting new patients

Locations

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

1101 Raintree Cir
Ste 150
Allen, TX 75013
Phone (214) 383-9939

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

3535 Travis St
Ste 160
Dallas, TX 75204
Phone (214) 346-9105

11661 Preston Rd
Ste 173
Dallas, TX 75230
Phone (214) 265-7200

3450 Bainbridge Dr
Ste 560
Dallas, TX 75237
Phone (800) 929-4776

1121 Flower Mound Rd
Ste 540
Flower Mound, TX 75028
Phone (972) 355-5200

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

5520 Sycamore School Rd
Fort Worth, TX 76123
Phone (817) 423-1621

8708 Medical City Way
Fort Worth, TX 76177
Phone (817) 345-0176

3055 Bardin Rd
Ste 200
Grand Prairie, TX 75052
Phone (972) 522-2200

2401 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 310-3736

331 Las Colinas Blvd E
Irving, TX 75039
Phone (972) 256-7114

5100 Eldorado Pkwy
#10220
McKinney, TX 75070
Phone (469) 310-1700

2758 N Galloway Ave
Ste 100
Mesquite, TX 75150
Phone (972) 681-1155

6105 Windcom Ct
Ste 300
Plano, TX 75093
Phone (972) 781-1111

821 N Coleman St
Ste 160
Prosper, TX 75078
Phone (972) 347-1111

Interoperability endpoints

  • Direct secure messaging: danielle.cullen.p2@direct.athleticoltd.nextgenshare.com

Organizations & group practices 6

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": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1619252731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 GROUSE HOLLOW WAY",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655988",
            "telephone_number": "314-322-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 GROUSE HOLLOW WAY",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655988",
            "telephone_number": "314-322-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 N Highway 67",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630315108",
            "country_code": "US",
            "telephone_number": "314-972-1442",
            "fax_number": "314-972-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "DANIELLE",
        "middle_name": "R",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1230867",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002007673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.