Thomas Michael Deyton, PT

Individual provider Active NPI Physical Therapist · Salida, CO

NPI 1316248529 · NPPES record last updated Feb 25, 2013

Key facts

NPI
1316248529
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2283 (CO)
Practice address
305 G Street
Salida, CO 81201
Phone
(719) 221-8287
NPI assigned
Nov 4, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2283COMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2283 CO Yes
Orthopedic Physical Therapist 2251X0800X 2283 CO

Addresses

Primary practice location

305 G Street
Salida, CO 81201

Mailing address

305 G St
Salida, CO 81201-2020
Phone (719) 221-8287

Other providers in Salida, CO

All providers in Salida, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.