Individual provider Active NPI

Daniel Levy Heller, PT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1962947648
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 43000 Issued in CA
Practice address
3711 Louisiana St Unit 5
San Diego, CA 92104-5918
Phone
(347) 820-5291
NPI assigned
Jan 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 PT 43000 CA Primary

Addresses

Primary practice location

3711 Louisiana St Unit 5
San Diego, CA 92104-5918

Mailing address

3711 Louisiana St Unit 5
San Diego, CA 92104-5918
Phone (347) 820-5291

Other practice location 1

2535 Camino Del Rio S Ste 225
San Diego, CA 92108-3756
Phone (347) 820-5291

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
43000CAMDDentist
PT 43000CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1962947648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 LOUISIANA ST UNIT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921045918",
            "telephone_number": "347-820-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 LOUISIANA ST UNIT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921045918",
            "telephone_number": "347-820-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2535 Camino Del Rio S Ste 225",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083756",
            "country_code": "US",
            "telephone_number": "347-820-5291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY HELLER",
        "first_name": "DANIEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-04",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 43000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.