Danielle Nicole Maccrory, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25777 Issued in MD

Practice address

100 White Marsh Park Dr
Bowie, MD 20715-4361

Phone

(301) 262-5852

Fax

(301) 262-3173

NPI assigned

Nov 6, 2015

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

Other names 1

• Danielle Nicole Pedersen Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Care Physical TherapyGroup PAC ID 0244559094, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Care Physical Therapy

  • Physical Therapy Clinic/Center
  • Deale, MD
  • NPI 1811302292
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1942673363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4058",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211144058",
            "telephone_number": "301-498-2212",
            "fax_number": "301-498-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHITE MARSH PARK DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154361",
            "telephone_number": "301-262-5852",
            "fax_number": "301-262-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCRORY",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "PEDERSEN",
            "middle_name": "NICOLE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• M. Nick Chehreh, M. D., P. a.
• M&G Healthcare
• M&M Home Care Inc
• Alonzo Mable, PHARM D.
• Meriam Macauley, DDS
• Deborah Maccubbin
• Elizabeth Lynn Mackessy-Lloyd
• Marla J. Macrae, DPT
• Macy Health Medical Equipment LLC
• Anastasia Maczko, RD, RDN

• Physical Therapist in Bowie, MD
• Providers in Bowie, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.