Individual provider Active NPI

Danielle Joy Shotwell, DPT

  • Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1942542139
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39968 Issued in CA
Practice address
291 E Main St Ste E
Los Gatos, CA 95030-6137
Phone
(408) 354-2223
Fax
(408) 354-2228
NPI assigned
Mar 26, 2013
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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 PT39968 CA Primary

Addresses

Primary practice location

291 E Main St Ste E
Los Gatos, CA 95030-6137

Mailing address

291 E Main St Ste E
Los Gatos, CA 95030-6137
Phone (408) 354-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203000870 TX Practitioner - Physical Therapist in Private Practice 3173769411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Practice addresses (Care Compare)

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39968CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optm Sports & Physical Therapy, Inc Physical Therapist CurrentSince Mar 1, 2013 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients

Locations

291 E Main St
Ste E
Los Gatos, CA 95030
Phone (408) 354-2223

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 3

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1942542139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E MAIN ST STE E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306137",
            "telephone_number": "408-354-2223",
            "fax_number": "408-354-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E MAIN ST STE E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306137",
            "telephone_number": "408-354-2223",
            "fax_number": "408-354-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTWELL",
        "first_name": "DANIELLE",
        "middle_name": "JOY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.