Active NPI
Danielle Aileen Dench, PTA
- Physical Therapy Assistant
- Port Jefferson Station, NY
National Provider Identifier
1679296461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1774345
- Practice address
- New York Therapy Placement Services, Inc.
299 Hallock Avenue
Port Jefferson Station, NY 11776 - Phone
- (631) 331-2204
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1774345 | NY | Primary |
Addresses
Primary practice location
New York Therapy Placement Services, Inc.
299 Hallock Avenue
Port Jefferson Station, NY 11776
Mailing address
14 Wesley St
Center Moriches, NY 11934-3718
Phone (631) 495-5354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1774345 | Other | NY | PHYSICAL THERAPIST ASSISTANT LICENSE |
Other names 1
- Danielle Aileen Richardson
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1774345 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1679296461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WESLEY ST",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119343718",
"telephone_number": "631-495-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEW YORK THERAPY PLACEMENT SERVICES, INC.",
"address_2": "299 HALLOCK AVENUE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "11776",
"telephone_number": "631-331-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENCH",
"first_name": "DANIELLE",
"middle_name": "AILEEN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "1774345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST ASSISTANT LICENSE",
"identifier": "1774345",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "RICHARDSON",
"middle_name": "AILEEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.