Matthew P Danneker, D.P.T

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

33987 Issued in CA

Practice address

16049 Tuscola Rd Ste a
Apple Valley, CA 92307

Phone

(760) 503-5455

NPI assigned

Sep 25, 2007

Last updated

Jul 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kinesio Physical Therapy and Performance

  • Physical Therapist
  • Monrovia, CA
  • NPI 1932050697
  Medicare reassignment NPD Authorized official
• Matthew P Danneker

  • Orthopedic Physical Therapist
  • Apple Valley, CA
  • NPI 1972010908
  NPD (past) Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1629265590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16049 TUSCOLA RD STE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070824",
            "telephone_number": "760-503-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16049 TUSCOLA RD STE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-503-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNEKER",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "33987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD",
            "identifier": "33987",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damodara Rajasekhar, MD, a Medical Corporation
• Dana Petrus, M.D., Inc.
• Daniel M. Villarosa, M.D., a Professional Corporation
• Jaylynn Faith Daniels
• Kira Nicole Daniels, COTA/L
• Geraldine Dantas, RD
• Jeannie Dao, RPH
• Melinda Jo Davenport
• David Chen and Associates Inc
• David F. Vargas, M.D., Inc.

• Orthopedic Physical Therapist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.