Individual provider Active NPI

Deanna M Errico, PT, ATC

  • Physical Therapist
  • Canton, NY
National Provider Identifier
1073721445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024679 Issued in NY
Practice address
80 E Main St
Canton Physical Therapy, Ej Noble BLDG
Canton, NY 13617-1450
Phone
(315) 261-5490
Fax
(315) 261-6490
NPI assigned
May 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024679 NY Primary

Addresses

Primary practice location

80 E Main St
Canton Physical Therapy, Ej Noble BLDG
Canton, NY 13617-1450

Mailing address

21 Wells St
Canton, NY 13617-1244
Phone (315) 268-3853

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073721445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WELLS ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171244",
            "telephone_number": "315-268-3853",
            "fax_number": "315-268-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E MAIN ST",
            "address_2": "CANTON PHYSICAL THERAPY, EJ NOBLE BLDG",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171450",
            "telephone_number": "315-261-5490",
            "fax_number": "315-261-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERRICO",
        "first_name": "DEANNA",
        "middle_name": "M",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.