Gary Deacon, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 11939 Issued in CA

Practice address

181 Fairview LN
Sonora, CA 95370-4809

Phone

(209) 532-6463

Fax

(209) 532-3420

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.17 of 100Reported as individual

Quality

80

Improvement activities

40

Cost

93.9

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gary M. Deacon

  • Physical Therapy Clinic/Center
  • Sonora, CA
  • NPI 1871711770

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1306929328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 FAIRVIEW LN",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704809",
            "telephone_number": "209-532-6463",
            "fax_number": "209-532-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 FAIRVIEW LN",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704809",
            "telephone_number": "209-532-6463",
            "fax_number": "209-532-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEACON",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 11939",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Victoria Dasilva
• Lisse Daugaard-Hansen, RN, MSN, NP-C
• Julia R Davis
• Susan Belle Day, PH.D., RN,
• Timothy R. Day
• Julia Dean, FNP
• Leanna Deangelis
• Claudette Elizabeth Decarbonel, MFT
• Anthony Defont, DDS
• Martin Deilmann, M.D.

• Physical Therapist in Sonora, CA
• Providers in Sonora, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.