Active NPI
Danielle V. Bazelak, PT, DPT
- Physical Therapist
- Vineland, NJ
National Provider Identifier
1770066037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01803800
- Practice address
- 80 S Main Rd
Vineland, NJ 08360-7829 - Phone
- (856) 500-3800
- Fax
- (856) 213-6549
- NPI assigned
- Sep 12, 2018
- 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 Therapist | 225100000X | 40QA01803800 | NJ | Primary |
Addresses
Primary practice location
80 S Main Rd
Vineland, NJ 08360-7829
Mailing address
224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
Phone (856) 677-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1499 E Venice Ave
Venice, FL 34292-3207
Phone (941) 451-8657
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strive Physical Therapy Specialists LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Venice, FL
- NPI 1598270407
-
- Physical Therapy Clinic/Center
- Philadelphia, PA
- NPI 1659962587
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1770066037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 STRAWBRIDGE DR STE 100",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574602",
"telephone_number": "856-677-4000",
"fax_number": "856-234-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 S MAIN RD",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083607829",
"telephone_number": "856-500-3800",
"fax_number": "856-213-6549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZELAK",
"first_name": "DANIELLE",
"middle_name": "V.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01803800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.