Matthew P Danneker

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

MATTHEW P DANNEKER

Practice address

16049 Tuscola Rd Ste a
Apple Valley, CA 92307-0824

Phone

(909) 263-2094

NPI assigned

Dec 29, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew P DannekerNPI 1629265590

Title

Owner/Director

Phone

(760) 503-5455

Specialties & licenses 2

Addresses

Other names 1

• Kinesio Physical Therapy Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew P Danneker, D.P.T

  • Orthopedic Physical Therapist
  • Apple Valley, CA
  • NPI 1629265590
  NPD (past) Authorized official
• Crystal Abigail Rouli, DPT

  • Physical Therapist
  • Apple Valley, CA
  • NPI 1740921675
  NPD

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1972010908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 W CHESTNUT AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910167230",
            "telephone_number": "760-503-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16049 TUSCOLA RD STE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070824",
            "telephone_number": "909-263-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW P DANNEKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "DANNEKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "760-503-5455"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "33987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinesio Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Layne Martinez
• Michelle Lenore Martinez
• Rose Emily Martinez
• Vanesssa Martinez
• Matthew J Pautz
• Sarah Matthews
• Tatum Maxwell
• Ashley Maya
• Farhad Mazi, D.D.S.
• Joshua Glen MC Clane, PPS-210004556

• Orthopedic Physical Therapist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.