Individual provider Active NPI

Deena Kingery Fleener, PTA

  • Physical Therapy Assistant
  • Janesville, WI
National Provider Identifier
1316431356
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2625-19 Issued in WI
Practice address
1702 S River Rd
Janesville, WI 53546-5648
Phone
(608) 606-2707
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2625-19 WI Primary

Addresses

Primary practice location

1702 S River Rd
Janesville, WI 53546-5648

Mailing address

813 E Dogwood Dr
Beloit, WI 53511-1735
Phone (608) 774-0194

Other practice location 1

470 Garfield Ave
Evansville, WI 53536-1014
Phone (608) 882-6557

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2625-19WIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1316431356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E DOGWOOD DR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111735",
            "telephone_number": "608-774-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S RIVER RD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535465648",
            "telephone_number": "608-606-2707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "WI",
            "postal_code": "535361014",
            "country_code": "US",
            "telephone_number": "608-882-6557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEENER",
        "first_name": "DEENA",
        "middle_name": "KINGERY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2625-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.