Provider Demographics
NPI:1477881936
Name:NORRIS-JENKINS, DANIELLE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:NORRIS-JENKINS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:NORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:3515 WISCONSIN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3085
Mailing Address - Country:US
Mailing Address - Phone:202-362-3606
Mailing Address - Fax:
Practice Address - Street 1:3515 WISCONSIN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3085
Practice Address - Country:US
Practice Address - Phone:202-362-3606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-21
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01329200225100000X, 2251X0800X
MD239182251X0800X, 225100000X
DCPT8726142251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist