Active NPI
Christy Deese, PT
- Physical Therapist
- Mobile, AL
National Provider Identifier
1316062912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1090553
- Practice address
- 5920 Grelot Rd Ste 2
Mobile, AL 36609-3606 - Phone
- (251) 342-9008
- Fax
- (251) 342-2060
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23028 | AL | |
| Physical Therapist | 225100000X | 1090553 | TX | Primary |
Addresses
Primary practice location
5920 Grelot Rd Ste 2
Mobile, AL 36609-3606
Mailing address
2079 Seacliff Dr N
Daphne, AL 36526-7137
Phone (251) 209-5010
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://app.webpt.com/ | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 23028 | AL | MD | Physical Therapist |
| 1090553 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1316062912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2079 SEACLIFF DR N",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267137",
"telephone_number": "251-209-5010",
"fax_number": "251-342-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 GRELOT RD STE 2",
"city": "MOBILE",
"state": "AL",
"postal_code": "366093606",
"telephone_number": "251-342-9008",
"fax_number": "251-342-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEESE",
"first_name": "CHRISTY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "23028",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1090553",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://app.webpt.com/",
"affiliation": "N",
"endpointDescription": "secure cloud message",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5920 Grelot Rd Ste 2",
"city": "Mobile",
"state": "AL",
"country_code": "US",
"postal_code": "366093606",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.