Daniela Nicole Avellaneda, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015599 Issued in GA

Practice address

70 Lindsey LN
Saint Marys, GA 31558-1635

Phone

(912) 510-6104

Fax

(912) 882-6137

NPI assigned

Sep 20, 2021

Last updated

Sep 20, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance for Kids Inc

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1700075124
  NPD

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1982374054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5610",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315585610",
            "telephone_number": "912-510-6104",
            "fax_number": "912-882-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LINDSEY LN",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581635",
            "telephone_number": "912-510-6104",
            "fax_number": "912-882-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVELLANEDA",
        "first_name": "DANIELA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy K. Wood
• Savannah Anderson
• Anew Medical Services Group, LLC (ANew Services Group)
• Arete Behavioral Health Corp
• Rylee Arnett
• Baptist Cardiology Inc
• Baptist Primary Care Inc
• Michael Jay Barlow, D.D.S
• Sara I Barnes, RDH
• Marcella Barnard Bell, M.ED

• Physical Therapist in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.