Provider Demographics
NPI:1639149800
Name:DONEGAN, DANAE (PT DPT)
Entity Type:Individual
Prefix:
First Name:DANAE
Middle Name:
Last Name:DONEGAN
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 412
Mailing Address - Street 2:STEP BY STEP PHYSICAL THERAPY
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569
Mailing Address - Country:US
Mailing Address - Phone:585-786-8700
Mailing Address - Fax:585-786-2659
Practice Address - Street 1:2333 NORTH MAIN ST
Practice Address - Street 2:STEP BY STEP PHYSICAL THERAPY PC
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569
Practice Address - Country:US
Practice Address - Phone:585-786-8700
Practice Address - Fax:585-786-2659
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020799225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000627488001OtherBLUE CROSS BLUE SHIELD
NY02471218Medicaid
NYRA0367Medicare ID - Type Unspecified
Q03860Medicare UPIN