Active NPI
Danielle Sweet, PTA
- Developmental Therapist
- Saint Louis, MO
National Provider Identifier
1679928451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 11364 Five Oaks Pkwy
Saint Louis, MO 63128-1405 - Phone
- (314) 210-9318
- NPI assigned
- Apr 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2015036953 | MO | |
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
11364 Five Oaks Pkwy
Saint Louis, MO 63128-1405
Mailing address
10560 Old Olive Street Rd Ste 100
Creve Coeur, MO 63141-5928
Phone (314) 567-4707
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 |
|---|---|---|---|
| 2015036953 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1679928451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10560 OLD OLIVE STREET RD STE 100",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631415928",
"telephone_number": "314-567-4707",
"fax_number": "314-567-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11364 FIVE OAKS PKWY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631281405",
"telephone_number": "314-210-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEET",
"first_name": "DANIELLE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2015036953",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.