Healthcare Provider Details

I. General information

NPI: 1235850454
Provider Name (Legal Business Name): DANIELLE ASHLEY SCHANTZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 SHIPYARD DR UNIT A
HINGHAM MA
02043-1611
US

IV. Provider business mailing address

703 GRANITE ST STE 3
BRAINTREE MA
02184-5350
US

V. Phone/Fax

Practice location:
  • Phone: 781-875-8343
  • Fax: 781-795-9929
Mailing address:
  • Phone: 781-961-3370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL81048
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: