Provider Demographics
NPI:1730400607
Name:HINKEY, DANIELLE R (PT, DPT, AIB-VR)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:R
Last Name:HINKEY
Suffix:
Gender:F
Credentials:PT, DPT, AIB-VR
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:G
Other - Last Name:ROWLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, AIB-VR
Mailing Address - Street 1:PO BOX 69030
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-9030
Mailing Address - Country:US
Mailing Address - Phone:757-873-2302
Mailing Address - Fax:757-873-2306
Practice Address - Street 1:2007 MEADE PKWY
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-4259
Practice Address - Country:US
Practice Address - Phone:757-539-6300
Practice Address - Fax:757-539-0704
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206471225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA496633OtherMEDICARE
004979796OtherVIRGINIA MEDICAID
VA1730400607OtherMEDICAID QMB
004979796OtherVIRGINIA MEDICAID