Deering Therapy Services LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1689 Issued in AZ

Legal business name

DEERING THERAPY SERVICES LTD

Practice address

1841 Morrow Ave
Kingman, AZ 86409

Phone

(928) 753-4263

Fax

(928) 753-1173

NPI assigned

Feb 14, 2007

Last updated

Jun 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerry W. Deering, OTRNPI 1245336890

Title

President

Phone

(928) 753-4263

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Tax ID family

Deering Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Deering Therapy Services LTD

  • Customized Equipment (DME)
  • Kingman, AZ
  • NPI 1083865737
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Deering, OTR

  • Occupational Therapist
  • Kingman, AZ
  • NPI 1245336890
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberley Kiel Deering, PT

  • Physical Therapist
  • Kingman, AZ
  • NPI 1235290529
  Medicare reassignment Care Compare group
• Amber Louise Randall, M.D.

  • Orthopaedic Surgery Physician
  • Flagstaff, AZ
  • NPI 1063496255
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496534400000",
    "number": "1366585945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3278",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-753-4263",
            "fax_number": "928-753-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 MORROW AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-753-4263",
            "fax_number": "928-753-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERING THERAPY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2017-06-04",
        "status": "A",
        "authorized_official_last_name": "DEERING",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-753-4263",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1689",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "0104",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "908329",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Gregory Dawson, D.O.
• Daniel B Dawson, D.O.
• Michael Deboer, D.O
• Narayanaswamy Deepak, M.D
• Deering Therapy Services LTD
• Kerry Deering, OTR
• Kimberley Kiel Deering, PT
• Maryssa Del Monaco, PA
• Staci Rene' Delaney, LPC
• Rachel Rae Delfino Briles, FNP-C

• Physical Therapist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.