Individual provider Active NPI

Danielle Marie McKenna, DPT

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1730435256
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018787 Issued in IL
Practice address
444 N Northwest Hwy Ste 202
Park Ridge, IL 60068-3271
Phone
(847) 268-0280
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070018787 IL
Physical Therapist 225100000X 070018787 IL Primary

Addresses

Primary practice location

444 N Northwest Hwy Ste 202
Park Ridge, IL 60068-3271

Mailing address

341 Montgomery LN
Glenview, IL 60025-4977
Phone (834) 781-4719

Other practice location 1

1810 N Mura Ln
MT Prospect, IL 60056-1675
Phone (847) 635-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200128000843 IL Practitioner - Physical Therapist in Private Practice 1850726548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070018787ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy & Health Services LLC. Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Jan 1, 2023 Accepting new patients

Locations

444 N Northwest Hwy
Ste 202
Park Ridge, IL 60068
Phone (847) 268-0280

Organizations & group practices 2

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": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1730435256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MONTGOMERY LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254977",
            "telephone_number": "834-781-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY STE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683271",
            "telephone_number": "847-268-0280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 N Mura Ln",
            "address_purpose": "LOCATION",
            "city": "MT Prospect",
            "state": "IL",
            "postal_code": "600561675",
            "country_code": "US",
            "telephone_number": "847-635-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070018787",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.