Individual provider Active NPI

Deanna J Whoriskey, P.T.

  • Pediatric Physical Therapist
  • Coral Springs, FL
National Provider Identifier
1417102872
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
24461 Issued in FL
Practice address
9985 NW 19TH St
Coral Springs, FL 33071-5818
Phone
(954) 509-3017
NPI assigned
Nov 25, 2008
Last updated
Nov 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 24461 FL Primary

Addresses

Primary practice location

9985 NW 19TH St
Coral Springs, FL 33071-5818

Mailing address

9985 NW 19TH St
Coral Springs, FL 33071-5818
Phone (954) 509-3017

Other names 1

  • Deanna J Simmons Former name

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
24461FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1417102872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9985 NW 19TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715818",
            "telephone_number": "954-509-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9985 NW 19TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715818",
            "telephone_number": "954-509-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHORISKEY",
        "first_name": "DEANNA",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "24461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "SIMMONS",
            "middle_name": "J",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.