Individual provider Active NPI

Damon Daura, PT

  • Physical Therapist
  • West Paterson, NJ
National Provider Identifier
1760574479
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00548200 Issued in NJ
Practice address
2 Andrews Dr
Suite 1
West Paterson, NJ 07424-2672
Phone
(973) 237-1975
Fax
(973) 237-1977
NPI assigned
Sep 29, 2006
Last updated
Apr 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00548200 NJ Primary

Addresses

Primary practice location

2 Andrews Dr
Suite 1
West Paterson, NJ 07424-2672

Mailing address

2 Andrews Dr
Suite 1
West Paterson, NJ 07424-2672
Phone (973) 237-1975

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000071 NJ Practitioner - Physical Therapist in Private Practice 0143301614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

156 State Route 15
Lafayette, NJ 07848-2607
Phone (973) 862-6377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00548200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Damon Physical Therapy Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
North Jersey Mobile Physical Therapy LLC Physical Therapist CurrentSince Jun 7, 2025 Accepting new patients
Performance Pediatrics Physical Therapist PastSince Jun 1, 2020 Accepting new patients
Metropolitan Orthopaedics LLC PastSince Jan 1, 2005 Accepting new patients

Locations

156 State Route 15
Lafayette, NJ 07848
Phone (973) 237-1975

156 State Route 15
Ste 8
Lafayette, NJ 07848
Phone (973) 862-6377

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1760574479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ANDREWS DR",
            "address_2": "SUITE 1",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242672",
            "telephone_number": "973-237-1975",
            "fax_number": "973-237-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ANDREWS DR",
            "address_2": "SUITE 1",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242672",
            "telephone_number": "973-237-1975",
            "fax_number": "973-237-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAURA",
        "first_name": "DAMON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00548200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.

Verify at the official NPI Registry.