Individual provider Active NPI

Robert William Deis, P.T.

  • Physical Therapist
  • Merced, CA
National Provider Identifier
1427388024
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36356 Issued in CA
Practice address
786 Loughborough Dr
Merced, CA 95348-2626
Phone
(209) 725-8680
Fax
(209) 725-2617
NPI assigned
Jan 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36356 CA Primary

Addresses

Primary practice location

786 Loughborough Dr
Merced, CA 95348-2626

Mailing address

786 Loughborough Dr
Merced, CA 95348-2626
Phone (209) 725-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420001005 CA Practitioner - Physical Therapist in Private Practice 1254468481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yosemite Physical Therapy, Inc.Group PAC ID 9931204419, 4 clinicians

Practice addresses (Care Compare)

786 Loughborough Dr
Merced, CA 95348-2626
Phone (209) 725-8680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36536CAMDChiropractor
36356CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yosemite Physical Therapy, Inc. Physical Therapist CurrentSince Mar 15, 2017 Accepting new patients

Locations

2609 1st St
Atwater, CA 95301
Phone (209) 356-1260

786 Loughborough Dr
Merced, CA 95348
Phone (209) 725-8680

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1427388024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 LOUGHBOROUGH DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482626",
            "telephone_number": "209-725-8680",
            "fax_number": "209-725-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 LOUGHBOROUGH DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482626",
            "telephone_number": "209-725-8680",
            "fax_number": "209-725-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIS",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.