Individual provider Active NPI

Christy Deese, PT

  • Physical Therapist
  • Mobile, AL
National Provider Identifier
1316062912
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1090553 Issued in TX
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

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
23028ALMDPhysical Therapist
1090553TXMDPhysical 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.

Verify at the official NPI Registry.