Active NPI
Deena George, PTA
- Physical Therapy Assistant
- Colorado Springs, CO
National Provider Identifier
1043678360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA0013710
- Practice address
- 5775 N Union Blvd
Colorado Springs, CO 80918-1744 - Phone
- (719) 434-7044
- Fax
- (719) 375-1276
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA0013710 | CO | Primary |
Addresses
Primary practice location
5775 N Union Blvd
Colorado Springs, CO 80918-1744
Mailing address
5775 N Union Blvd
Colorado Springs, CO 80918-1744
Phone (719) 434-7044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA0013710 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1043678360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181744",
"telephone_number": "719-434-7044",
"fax_number": "719-375-1276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181744",
"telephone_number": "719-434-7044",
"fax_number": "719-375-1276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "DEENA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA0013710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.