Active NPI
Danielle Rose Herbeck, DPT
- Physical Therapist
- Waterford, MI
National Provider Identifier
1750626362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016085
- Practice address
- 7500 Highland Rd
Waterford, MI 48327-1404 - Phone
- (734) 635-1455
- NPI assigned
- Dec 7, 2012
- Last updated
- Feb 12, 2015
- 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 Therapist | 225100000X | 5501016085 | MI | Primary |
Addresses
Primary practice location
7500 Highland Rd
Waterford, MI 48327-1404
Mailing address
7500 Highland Rd
Waterford, MI 48327-1404
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 |
|---|---|---|---|
| 5501016085 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1750626362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 HIGHLAND RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 HIGHLAND RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271404",
"telephone_number": "734-635-1455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBECK",
"first_name": "DANIELLE",
"middle_name": "ROSE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.