Individual provider Active NPI

Tammy Lynn Daniluck, P.T.

  • Physical Therapist
  • Shrewsbury, PA
National Provider Identifier
1912183401
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017540 Issued in PA
Practice address
600 Shrewsbury Commons Ave
Suite 9a
Shrewsbury, PA 17361-1616
Phone
(717) 227-2230
Fax
(717) 227-0509
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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 PT017540 PA Primary

Addresses

Primary practice location

600 Shrewsbury Commons Ave
Suite 9a
Shrewsbury, PA 17361-1616

Mailing address

600 Shrewsbury Commons Ave
Suite 9a
Shrewsbury, PA 17361-1616
Phone (717) 227-2230

Other names 1

  • Tammy Neville Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT017540PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1912183401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SHREWSBURY COMMONS AVE",
            "address_2": "SUITE 9A",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611616",
            "telephone_number": "717-227-2230",
            "fax_number": "717-227-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SHREWSBURY COMMONS AVE",
            "address_2": "SUITE 9A",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611616",
            "telephone_number": "717-227-2230",
            "fax_number": "717-227-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANILUCK",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "NEVILLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shrewsbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.