Healthcare Provider Details

I. General information

NPI: 1386332971
Provider Name (Legal Business Name): DANIELLE JOHNSON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 MARLBORO PIKE STE A
FORESTVILLE MD
20747-4311
US

IV. Provider business mailing address

7500 MARLBORO PIKE STE A
FORESTVILLE MD
20747-4311
US

V. Phone/Fax

Practice location:
  • Phone: 301-238-4788
  • Fax:
Mailing address:
  • Phone: 301-238-4723
  • Fax: 301-263-7706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: