Individual provider Active NPI

Joseph Dannels

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1639711252
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297102 Issued in CA
Practice address
2001 S Shields St Ste A1
Fort Collins, CO 80526-1828
Phone
(970) 797-2431
Fax
(970) 797-2509
NPI assigned
Oct 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 297102 CA Primary

Addresses

Primary practice location

2001 S Shields St Ste A1
Fort Collins, CO 80526-1828

Mailing address

1914 Churchill CT
Fort Collins, CO 80526-6114

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
297102CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkana Rehabilitation, PLLC Physical Therapist CurrentSince Aug 11, 2022 Accepting new patients

Locations

2001 S Shields St
Ste A1
Fort Collins, CO 80526
Phone (970) 797-2431

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1639711252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 CHURCHILL CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE A1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261828",
            "telephone_number": "970-797-2431",
            "fax_number": "970-797-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNELS",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.