Deanna Von Ibsch, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT 35295 Issued in CA

Practice address

11105 Knott Ave
Suite a
Cypress, CA 90630-5137

Phone

(714) 893-7399

NPI assigned

May 21, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Coast Pediatric Physical Therapy, Inc

  • Speech-Language Pathologist
  • Cypress, CA
  • NPI 1467604694

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1033344833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 KNOTT AVE",
            "address_2": "SUITE A",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11105 KNOTT AVE",
            "address_2": "SUITE A",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305137",
            "telephone_number": "714-893-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON IBSCH",
        "first_name": "DEANNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT 35295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magali Velasco Iglesias
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• Celeste Viramontes, SLP-A
• Renzo Khan Manajero Viray
• Rashell Volpi
• April Voong
• Vora Dental Professional Corporation
• Kyle Quoc Vu
• Lyly Vu
• Apinya Bee Vutikullird, D.O.

• Pediatric Physical Therapist in Cypress, CA
• Providers in Cypress, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.