Active NPI
Danielle N Carter, DPT
- Physical Therapist
- Melbourne, FL
National Provider Identifier
1912488719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32294
- Practice address
- 21 Suntree PL Ste 100
Melbourne, FL 32940-7600 - Phone
- (321) 254-5300
- NPI assigned
- Aug 28, 2018
- 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 | PT32294 | FL | Primary |
Addresses
Primary practice location
21 Suntree PL Ste 100
Melbourne, FL 32940-7600
Mailing address
1290 Corbett LN
Melbourne, FL 32904-6424
Phone (713) 416-8127
Other names 1
- Danielle Nicole Nissman
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 |
|---|---|---|---|
| PT32294 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Rivers Hearing | Current | Accepting new patients | |
| Forte Physical Therapy | Past | Accepting new patients |
Locations
21 Suntree Pl
Ste 100
Melbourne, FL 32940
Phone (321) 254-5300
Organizations & group practices 2
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.
-
- Audiologist
- Melbourne, FL
- NPI 1700363736
-
- Physical Therapy Clinic/Center
- San Antonio, TX
- NPI 1932366838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1912488719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 CORBETT LN",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329046424",
"telephone_number": "713-416-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SUNTREE PL STE 100",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407600",
"telephone_number": "321-254-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "DANIELLE",
"middle_name": "N",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "NISSMAN",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.