Individual provider Active NPI

Danielle McKinney, DPT

  • Physical Therapist
  • Destin, FL
National Provider Identifier
1881133148
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32315 Issued in FL
Practice address
35008 Emerald Coast Pkwy Ste 400
Destin, FL 32541
Phone
(205) 260-4314
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 32315 FL
Physical Therapist 225100000X 32315 FL Primary

Addresses

Primary practice location

35008 Emerald Coast Pkwy Ste 400
Destin, FL 32541

Mailing address

150 Bent Arrow Dr Unit 4
Destin, FL 32541-2589
Phone (205) 260-4314

Other practice location 1

16 Gardner Dr
Shalimar, FL 32579
Phone (205) 260-4314

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170525001923 FL Practitioner - Physical Therapist in Private Practice 3678840410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32315FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Physical Therapy LLC Physical Therapist CurrentSince Sep 8, 2019 Accepting new patients

Locations

856 N Tyndall Pkwy
Ste B
Callaway, FL 32404
Phone (850) 714-6166

35008 Emerald Coast Pkwy
Ste 400
Destin, FL 32541
Phone (850) 714-6166

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1881133148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BENT ARROW DR UNIT 4",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412589",
            "telephone_number": "205-260-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35008 EMERALD COAST PKWY STE 400",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "205-260-4314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Gardner Dr",
            "address_purpose": "LOCATION",
            "city": "Shalimar",
            "state": "FL",
            "postal_code": "32579",
            "country_code": "US",
            "telephone_number": "205-260-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "32315",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "32315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.