Deanna Elizabeth Kilmer, KILMER, DEANNA PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI002320 Issued in PA

Practice address

81 Sturges Rd
Peckville, PA 18452-1302

Phone

(570) 383-7230

NPI assigned

Aug 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Deanna Elizabeth Darrell Former name

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": "1408233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408233600000",
    "number": "1245639103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 GREENFIELD RD",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184337761",
            "telephone_number": "570-877-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 STURGES RD",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184521302",
            "telephone_number": "570-383-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILMER",
        "first_name": "DEANNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "KILMER, DEANNA  PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-17",
        "last_updated": "2014-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI002320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "DARRELL",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapy Assistant in Peckville, PA
• Providers in Peckville, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.