Dedicated Therapy Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DEDICATED THERAPY SERVICES LLC

Doing business as

Dedicated Therapy Service LLC

Practice address

2320 E Baseline Rd Ste 148-241
Phoenix, AZ 85042-6960

Phone

(623) 688-0282

Fax

(602) 347-0516

NPI assigned

Jan 2, 2020

Last updated

Jun 19, 2020By 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

Makkeda N Rubin-Deloney, PT, DPT, OCSNPI 1407000557

Title

Owner

Phone

(623) 688-0282

Specialties & licenses 1

Addresses

Other names 1

• Dedicated Therapy Service LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Makkeda Rubin-Deloney, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1407000557
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1417596800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 E BASELINE RD STE 148-241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426960",
            "telephone_number": "623-688-0282",
            "fax_number": "602-347-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E BASELINE RD STE 148-241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426960",
            "telephone_number": "623-688-0282",
            "fax_number": "602-347-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "RUBIN-DELONEY",
        "authorized_official_first_name": "MAKKEDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-688-0282",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "EHR System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "2320 E Baseline Rd # 207",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850426951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dedicated Therapy Service LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dedicated Therapy Service LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mari'Yell Declouette-Sanders
• Dustin Anthony Dedecker, RPH
• Dedicated Dragonfly Therapy, LLC
• Dedicated Onsite Therapy LLC
• Dedicated Recovery and Counseling LLC
• Brian Dedinsky, M.D.
• Marcus Dee, DO
• Sandra Jean Deegan, M.D.
• Patricia Lott Deeke, M.S.P.T.
• Jack Deeming

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, 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 19, 2020; 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.