Individual provider Active NPI

Danae Boren, PT, DPT

  • Physical Therapist
  • Ventura, CA
National Provider Identifier
1902766421
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309123 Issued in CA
Practice address
801 S Victoria Ave
Ventura, CA 93003-5314
Phone
(805) 250-7505
Fax
(805) 250-7171
NPI assigned
Nov 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 309123 CA Primary

Addresses

Primary practice location

801 S Victoria Ave
Ventura, CA 93003-5314

Mailing address

2361 Palomar Ave
Ventura, CA 93001-2461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201000350 CA Practitioner - Physical Therapist in Private Practice 5991298820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Second Wave Physical Therapy IncGroup PAC ID 3274996905, 24 clinicians

Practice addresses (Care Compare)

801 S Victoria Ave
Ventura, CA 93003-5314
Phone (805) 250-7505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309123CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Second Wave Physical Therapy Inc. Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients

Locations

2367 N Oxnard Blvd
Oxnard, CA 93036
Phone (805) 250-7505

735 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

801 S Victoria Ave
Ventura, CA 93003
Phone (805) 250-7505

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": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1902766421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 PALOMAR AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S VICTORIA AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035314",
            "telephone_number": "805-250-7505",
            "fax_number": "805-250-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREN",
        "first_name": "DANAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.