Individual provider Active NPI

Danielle McGuire, PT

  • Physical Therapist
  • Watertown, CT
National Provider Identifier
1891516704
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12816 Issued in CT
Practice address
777 Echo Lake Rd Unit I
Watertown, CT 06795-6618
Phone
(959) 209-4318
Fax
(959) 209-4336
NPI assigned
Oct 23, 2024
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 12816 CT Primary

Addresses

Primary practice location

777 Echo Lake Rd Unit I
Watertown, CT 06795-6618

Mailing address

10 Bungary Terrace
Seymour, CT 06483
Phone (203) 767-5860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031003088 CT Practitioner - Physical Therapist in Private Practice 2567995335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connect Physical Therapy LLCGroup PAC ID 2163792771, 16 clinicians

Practice addresses (Care Compare)

100 Main St N
Southbury, CT 06488-3840
Phone (959) 209-4318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12816CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Physical Therapy, LLC Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients

Locations

123 Union City Rd
Unit 2
Prospect, CT 06712
Phone (959) 209-4318

100 Main St N
Southbury, CT 06488
Phone (203) 262-4559

777 Echo Lake Rd
Ste 1
Watertown, CT 06795
Phone (959) 209-4318

777 Echo Lake Rd
Unit I
Watertown, CT 06795
Phone (959) 209-4318

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, 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": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1891516704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BUNGARY TERRACE",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "06483",
            "telephone_number": "203-767-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ECHO LAKE RD UNIT I",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067956618",
            "telephone_number": "959-209-4318",
            "fax_number": "959-209-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "DANIELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.