Active NPI
Heidi Daschko
- Physical Therapy Assistant
- Denville, NJ
National Provider Identifier
1710247937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTAQB00050200
- Practice address
- 109 US Highway 46
Denville, NJ 07834-2776 - Phone
- (973) 625-0744
- Fax
- (973) 625-0741
- NPI assigned
- May 22, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTAQB00050200 | NJ | Primary |
Addresses
Primary practice location
109 US Highway 46
Denville, NJ 07834-2776
Mailing address
109 US Highway 46
Denville, NJ 07834-2776
Phone (973) 625-0744
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 |
|---|---|---|---|
| PTAQB00050200 | NJ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1710247937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 46",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342776",
"telephone_number": "973-625-0744",
"fax_number": "973-625-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 46",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342776",
"telephone_number": "973-625-0744",
"fax_number": "973-625-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASCHKO",
"first_name": "HEIDI",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "PTAQB00050200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.