Diane C. Dejean, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2293 Issued in FL

Practice address

1153 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835

Phone

(850) 932-9223

Fax

(850) 934-0654

NPI assigned

Feb 6, 2008

Sex

Female

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)

Not enrolled

State licenses

Practice roles

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.

• Gulf Breeze Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Pensacola, FL
  • NPI 1730183153

  Physical Therapist

  NPD (past)
• Rehabclinics SPT Inc

  • Physical Therapist
  • Eldersburg, MD
  • NPI 1164427092
  NPD (past)

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1194903740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 W HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325065939",
            "telephone_number": "850-453-9475",
            "fax_number": "850-453-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614835",
            "telephone_number": "850-932-9223",
            "fax_number": "850-934-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJEAN",
        "first_name": "DIANE",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah D. Viglione M.D., LLC
• Margaret Decarolis, NP
• Sheila Sue Decker, D.C.
• Mailande Dedeaux, PA
• Bambi Defelice, ATC, LAT
• Mary Helen Del Mar, PMHNP-BC
• Delta Health Group Inc
• Michael Scott Demahy, PT
• Dylan M Dewey
• Donald S. Hansen, P.a.

• Physical Therapist in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.