Robert J Deppen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005080L Issued in PA

Practice address

300 State St
#400A
Erie, PA 16507-1427

Phone

(814) 454-8287

Fax

(814) 454-8470

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: robert.deppen@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)
• Regional Health Services Inc

  • Family Medicine Physician
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  • NPI 1174520654

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184638280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "#400A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "814-454-8287",
            "fax_number": "814-454-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "#400A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "814-454-8287",
            "fax_number": "814-454-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPPEN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005080L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Services of Western Pennsylvania, LLC (Aspen Dental)
• Katie Depanfilis, LPC
• Department of Military Affairs Commonwealth of Pennsylvania (PA Soldiers' and Sailors' Home Pharmacy)
• Matthew A Depaul, CRNP
• Peter L Depowski, MD
• Dermatology Assoc of Erie
• Kelli K Desanctis, DO
• Alissa Lynn Desanti, PHARMD
• Guyvenson Desir
• Candace R Desser, LCSW

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• 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.