Active NPI
Danielle Dupont, DPT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31920
- Practice address
- 539 E Glendale Ave Ste 105
Phoenix, AZ 85020-4900 - Phone
- (602) 241-3145
- Fax
- (602) 241-3146
- NPI assigned
- Nov 7, 2019
- 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 Therapist | 225100000X | KY | ||
| Physical Therapist | 225100000X | LPT-31920 | AZ | Primary |
Addresses
Primary practice location
539 E Glendale Ave Ste 105
Phoenix, AZ 85020-4900
Mailing address
100 Aqua Way Apt 219
Newport, KY 41071-2553
Phone (859) 750-9834
Other practice location 1
560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220118001481 | AZ | Practitioner - Physical Therapist in Private Practice | 3870928328 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Foothills Sports Medicine and Rehabilitation LLC
Practice addresses (Care Compare)
15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
Phone (480) 940-8299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-31920 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| Foothills Sports Medicine & Orthopaedics Phoenix, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
539 E Glendale Ave
Ste 105
Phoenix, AZ 85020
Phone (602) 241-3145
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
Organizations & group practices 6
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
AZ, Physical Therapist
-
- Physical Therapist
- Phoenix, AZ
- NPI 1457304792
AZ, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Mesa, AZ
- NPI 1215648217
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1538870373
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
-
- Physical Therapist
- Tucson, AZ
- NPI 1699405050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1740825355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 AQUA WAY APT 219",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712553",
"telephone_number": "859-750-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 E GLENDALE AVE STE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204900",
"telephone_number": "602-241-3145",
"fax_number": "602-241-3146"
}
],
"practiceLocations": [
{
"address_1": "560 S Loop Rd",
"address_purpose": "LOCATION",
"city": "Edgewood",
"state": "KY",
"postal_code": "410173405",
"country_code": "US",
"telephone_number": "859-301-2663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUPONT",
"first_name": "DANIELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.