DANIELLE STALEY DPT
NPI 1104306216
Physical Therapist - Pediatrics in Clarksville, TN
NPI Status: Active since August 17, 2018
Contact Information
851 PROFESSIONAL PARK DR
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 542-2168
- Individual
- Female
- Years of Experience 8
- Physical Therapist
- Pediatrics
- Accepts Insurance
- May Accept Medicare Approved Payment
About DANIELLE STALEY
This page provides the complete NPI Profile along with additional information for Danielle Staley, a provider established in Clarksville, Tennessee with a medical specialization in Physical Therapist, focusing in pediatrics and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1104306216 assigned on August 2018. The practitioner's primary taxonomy code is 2251P0200X with license number 16421 (TN). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104306216
- Provider Name
- DANIELLE STALEY DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 851 PROFESSIONAL PARK DR CLARKSVILLE, TN 37040
- Location Phone
- (931) 542-2168
- Mailing Address
- 1314 WINDERMERE WAY PRINCETON, TX 75407
- Mailing Phone
- (480) 521-3883
- Medical School Name
- OTHER
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2018
- Last Update Date
- 05-02-2025
- Code Navigator
Location Map
Secondary Locations
- 60 Noble Ct Ste 120
Heath, TX 75032
(325) 793-3400
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 16421
- License State
- TN
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 1306741 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Danielle Staley is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 1052827656
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250721003580
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for DANIELLE STALEY DPT
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104306216, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 44 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104306216, enumerated as an "individual" on August 17, 2018.
The provider is located at 851 PROFESSIONAL PARK DR CLARKSVILLE, TN 37040 and the phone number is (931) 542-2168.
Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.
