Active NPI
Danielle Joy Shotwell, DPT
- Physical Therapist
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39968
- 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, 2013
- 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT39968 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optm Sports & Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
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.