Ekaterina Danielian

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004546 Issued in GA

Practice address

75 Magnolia St
Roswell, GA 30075-4381

Phone

(470) 740-7419

Fax

(770) 882-2837

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1780288696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SWINGLINE LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043135",
            "telephone_number": "818-400-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAGNOLIA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754381",
            "telephone_number": "470-740-7419",
            "fax_number": "770-882-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELIAN",
        "first_name": "EKATERINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Parker Dailey, M.D.
• Lisa Levy Dale, L.C.S.W.
• Robert Dandino
• Daniel O'Shea DMD, LLC
• Ashley Michele Daniel, APC
• Brianna Daniels-Sumpter
• Rebecca Marcia Daniels, MS, OTR/L
• Amanda K. Danz, NP-C
• Darling Pediatric Therapies
• Titu D Das, MD

• Physical Therapy Assistant in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.