Kari Dannenberg, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-012363 Issued in AZ

Practice address

2510 E Hunt Hwy Ste 27
San Tan Valley, AZ 85143-5208

Phone

(480) 618-0480

NPI assigned

Dec 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Experience Physical Therapy LLC

  • Physical Therapist
  • San Tan Valley, AZ
  • NPI 1447877105
  NPD (past)

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1922815976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E HUNT HWY STE 27",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435208",
            "telephone_number": "480-618-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E HUNT HWY STE 27",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435208",
            "telephone_number": "480-618-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNENBERG",
        "first_name": "KARI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-012363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle A Cruz
• Amy Curtiss, PSYD
• Kayla Cutruzzula, PT, DPT
• Brynea Daman, CNM
• Danjer Blaze Reign LLC
• Kami Dasti
• Tess Cahil Davenport
• Leslie Denise Davis-Paige, RN
• Merrion Dawson, MD
• Ross Dechant, M.D.

• Physical Therapy Assistant in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.