Active NPI
Barbara W. Deturk, PT
- Physical Therapist
- Miller Place, NY
National Provider Identifier
1427484823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006011-1
- Practice address
- 162 Parkside Ave
Miller Place, NY 11764-3408 - Phone
- (631) 821-6474
- Fax
- (631) 821-6474
- NPI assigned
- Sep 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006011-1 | NY | Primary |
Addresses
Primary practice location
162 Parkside Ave
Miller Place, NY 11764-3408
Mailing address
162 Parkside Ave
Miller Place, NY 11764-3408
Phone (631) 821-6474
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006011-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1427484823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 PARKSIDE AVE",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117643408",
"telephone_number": "631-821-6474",
"fax_number": "631-821-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 PARKSIDE AVE",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117643408",
"telephone_number": "631-821-6474",
"fax_number": "631-821-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETURK",
"first_name": "BARBARA",
"middle_name": "W.",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "006011-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.