Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Danny Leonard McCullough, MPT

Individual provider Physical Therapist · NPI 1942387295

Mr. Danny Leonard McCullough, MPT is a Physical Therapist in Private Practice in Port St Lucie, Florida. Qualified in 2004, 22 years ago. Practices with Lakeside Physical Therapy and Wellness LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

124 SW Chamber Ct
Port St Lucie, FL 34986-3496
Phone: (772) 288-2400
Fax: (772) 419-0144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT21723 (FL)

Record details

NPI number1942387295
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMarch 7, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Lakeside Physical Therapy And Wellness Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port St Lucie