Active NPI
Eric R. Deines, PT, DPT
- Physical Therapist
- Centennial, CO
National Provider Identifier
1104800713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8569
- Practice address
- 8033 S Race Way
Centennial, CO 80122-3217 - Phone
- (303) 909-9393
- Fax
- (303) 738-5544
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- 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 Therapist | 225100000X | 8569 | CO | Primary |
Addresses
Primary practice location
8033 S Race Way
Centennial, CO 80122-3217
Mailing address
8033 S Race Way
Centennial, CO 80122-3217
Phone (303) 909-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041117000756 | CO | Practitioner - Physical Therapist in Private Practice | 9032173257 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8569 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Centennial, CO
- NPI 1780913798
CO, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276387200000",
"number": "1104800713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8033 S RACE WAY",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801223217",
"telephone_number": "303-909-9393",
"fax_number": "303-738-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8033 S RACE WAY",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801223217",
"telephone_number": "303-909-9393",
"fax_number": "303-738-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEINES",
"first_name": "ERIC",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2010-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.