Active NPI
Deanna Panico, DPT, ATC
- Physical Therapist
- Castle Rock, CO
National Provider Identifier
1245968932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0018464
- Practice address
- 815 S Perry St Ste 200
Castle Rock, CO 80104-3376 - Phone
- (347) 739-5738
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0018464 | CO | Primary |
Addresses
Primary practice location
815 S Perry St Ste 200
Castle Rock, CO 80104-3376
Mailing address
1101 E Bayaud Ave # W709
Denver, CO 80209-2458
Phone (347) 739-5738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0018464 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1245968932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E BAYAUD AVE # W709",
"city": "DENVER",
"state": "CO",
"postal_code": "802092458",
"telephone_number": "347-739-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 S PERRY ST STE 200",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801043376",
"telephone_number": "347-739-5738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANICO",
"first_name": "DEANNA",
"credential": "DPT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0018464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.