Michael Wayne Decker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1356 Issued in MT

Practice address

100 W Gore St
Suite 301
Orlando, FL 32806-1044

Phone

(407) 254-2558

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1285803783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ALTA VISTA ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136910",
            "telephone_number": "501-515-1119",
            "fax_number": "979-241-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST",
            "address_2": "SUITE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061044",
            "telephone_number": "407-254-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2061599",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "2111",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "1356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Andrew Deci, M.D.
• Decir Pediatric Specialty
• Alicia Marie Decker, PHARM.D.
• David A Decker, M.D.
• Jonathan Wright Decker, PHD, ARNP, FNP-BC
• Robert James Decker Jr., D.O
• Susan Christine Decker, PHYSICAL THERAPIST
• Marta Y Declet
• Beycha M Decos, BCABA
• Mia Decristofaro

• Physical Therapy Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.