Active NPI
Danielle Yassall, PT
- Physical Therapist
- Houston, TX
National Provider Identifier
1851430466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1106482
- Practice address
- 11275 S Sam Houston Pkwy W Ste 150
Houston, TX 77031-2358 - Phone
- (832) 328-4545
- Fax
- (832) 328-4548
- NPI assigned
- Feb 6, 2007
- 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 | PT1106482 | TX | Primary |
Addresses
Primary practice location
11275 S Sam Houston Pkwy W Ste 150
Houston, TX 77031-2358
Mailing address
283 Lockhaven Dr Ste 315
Houston, TX 77073-5519
Phone (281) 821-4200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164175501 | Medicaid | TX | |
| 31JC | Other | TX | BCBS GROUP PROVIDER # |
| 00802V | Other | TX | MEDICARE GROUP PROVIDER # |
| 8T1439 | Other | TX | BCBS INDIVIDUAL PROVIDER |
| 164171401 | Other | TX | MEDICAID GROUP PROVIDER # |
Other names 1
- Danielle Bernal
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1106482 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1851430466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 LOCKHAVEN DR STE 315",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770735519",
"telephone_number": "281-821-4200",
"fax_number": "281-821-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11275 S SAM HOUSTON PKWY W STE 150",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770312358",
"telephone_number": "832-328-4545",
"fax_number": "832-328-4548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASSALL",
"first_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "PT1106482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164175501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP PROVIDER #",
"identifier": "31JC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PROVIDER #",
"identifier": "00802V",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL PROVIDER",
"identifier": "8T1439",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP PROVIDER #",
"identifier": "164171401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "BERNAL",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.