Individual provider Active NPI

Deanna Sipes, PT, DPT

  • Physical Therapist
  • Fuquay Varina, NC
National Provider Identifier
1174144414
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19212 Issued in NC
Practice address
304 Judd Place Dr
Fuquay Varina, NC 27526-2386
Phone
(919) 557-8305
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X P19212 NC Primary

Addresses

Primary practice location

304 Judd Place Dr
Fuquay Varina, NC 27526-2386

Mailing address

304 Judd Place Dr
Fuquay Varina, NC 27526-2386
Phone (919) 557-8305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230001062 NC Practitioner - Physical Therapist in Private Practice 4880007301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19212NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care First Physical Therapy & Rehab, LLC Single Specialty CurrentSince Sep 25, 2020 Accepting new patients
Shining Stars Therapy, PA Past Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
Shining Stars Therapy, PA Past Accepting new patients

Locations

100 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-1921

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1174144414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 JUDD PLACE DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262386",
            "telephone_number": "919-557-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 JUDD PLACE DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262386",
            "telephone_number": "919-557-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPES",
        "first_name": "DEANNA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.

Verify at the official NPI Registry.