Shelly Christine Deleeuw, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2786 Issued in SC

Practice address

3039 Okatie Hwy
Bluffton, SC 29909-5101

Phone

(843) 705-8224

NPI assigned

Jan 7, 2013

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

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1225375512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 BLUFFTON PKWY",
            "address_2": "#1132",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104610",
            "telephone_number": "843-757-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 OKATIE HWY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299095101",
            "telephone_number": "843-705-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEEUW",
        "first_name": "SHELLY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decipher Medical at Palmetto Bluff
• Tina K Decker, OTR
• Caitlin Rose Degray, D.P.T.
• Miriam Stewart Dehart, MPT
• Sarah Elizabeth Delasko
• Krista Delgado, M.S., L.I.S.W.-CP
• Raymond Delgado, D.C.
• Nikki J Demaine, OTR, MBA
• Vincent Michael Deninis, OD
• Nicole Kiera Denner, PT, DPT

• Physical Therapy Assistant in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.