Pamela R Dehne, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1030658 Issued in TX

Practice address

4002 Executive Park Blvd Ste 800
Southport, NC 28461-9069

Phone

(910) 477-6357

Fax

(910) 477-6357

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

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.

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  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Sports and Physical Therapy LLC 60 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2024.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1164538898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7454 CORDOBA CIR APT 211",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284512702",
            "telephone_number": "512-590-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 EXECUTIVE PARK BLVD STE 800",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619069",
            "telephone_number": "910-477-6357",
            "fax_number": "910-477-6357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Commerce Ave",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283877059",
            "country_code": "US",
            "telephone_number": "910-757-0408",
            "fax_number": "910-757-0413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHNE",
        "first_name": "PAMELA",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1030658",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP008765T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa D'Oria, PT
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• David Jason Davies, D.C.
• Ronald J De Santo, CPED
• Susan Jane Dean, MD
• Seth M Deletetsky, DC
• Eugene W Deslauriers, PT
• Christopher Michael Dillard, LPTA
• Dosher Anesthesia PLLC
• Caitlyn Dunn

• All providers in Southport, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.