Active NPI
Judith Sarah Daniels, DPT
- Pediatric Physical Therapist
- Marina del Rey, CA
National Provider Identifier
1952527509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 32247
- Practice address
- 4712 Admiralty Way
657
Marina del Rey, CA 90292-6905 - Phone
- (310) 305-4643
- NPI assigned
- Apr 18, 2007
- Last updated
- Feb 26, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 32247 | CA | Primary |
Addresses
Primary practice location
4712 Admiralty Way
657
Marina del Rey, CA 90292-6905
Mailing address
4712 Admiralty Way
657
Marina del Rey, CA 90292-6905
Phone (310) 305-4643
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32247 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488067200000",
"number": "1952527509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 ADMIRALTY WAY",
"address_2": "657",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926905",
"telephone_number": "310-305-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 ADMIRALTY WAY",
"address_2": "657",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926905",
"telephone_number": "310-305-4643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "JUDITH",
"middle_name": "SARAH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2017-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "32247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.