MEDICARE: DR. DANNY XU PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	047104	NY
2	225100000X	Physical Therapist	38199	FL

General Provider Information

NPI Number	:	1518547017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANNY XU PT, DPT

Provider Business Mailing Address
First Line	:	14605 GILLIGANS WAY APT 8
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-5400
Country	:	US
Telephone Number	:	347-886-1057
Fax Number	:

Provider Business Practice Location Address
First Line	:	14813 N DALE MABRY HWY # 720
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2027
Country	:	US
Telephone Number	:	813-964-5982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2021
Last Update Date	:	07/31/2023

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