Olivia Ann Deitering

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

500 5TH St
Brookings, OR 97415-9702

Phone

(419) 788-4247

NPI assigned

Mar 6, 2023

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

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1235839697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 TOWNSHIP ROAD 93",
            "city": "MCCOMB",
            "state": "OH",
            "postal_code": "45858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 5TH ST",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159702",
            "telephone_number": "419-788-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITERING",
        "first_name": "OLIVIA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Nelson Croy, P.A.
• Curry Health District
• Curry Health District
• Dane E. Smith DDS PC
• Ellen Dar, MD
• Andrea Roberta Del Grande, LPC
• Dennis Demrest
• Juliette Michelle Dephilippis, PA-C
• Christina Devone
• Dawn Marie Dillon

• Physical Therapy Assistant in Brookings, OR
• Providers in Brookings, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.