Individual provider Active NPI

Deborah Ann Denio-Ipekjian, MPT,DPT,MTC

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1457406746
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26676 Issued in CA
Practice address
4208 Rosedale Hwy Ste 204
Bakersfield, CA 93308-6172
Phone
(661) 447-5020
Fax
(310) 889-0998
NPI assigned
Jan 24, 2007
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 26676 CA Primary

Addresses

Primary practice location

4208 Rosedale Hwy Ste 204
Bakersfield, CA 93308-6172

Mailing address

4208 Rosedale Hwy Ste 204
Bakersfield, CA 93308-6172
Phone (661) 447-5020

Other practice location 1

10780 Santa Monica Blvd
suite 470
Los Angeles, CA 90025-4749
Phone (310) 475-6038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000582 CA Practitioner - Physical Therapist in Private Practice 5193885184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4208 Rosedale Hwy
Suite 204
Bakersfield, CA 93308-6172
Phone (661) 447-5020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26676CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Realign Fitness and Physical Therapy Inc Physical Therapist CurrentSince Feb 1, 2016 Accepting new patients

Locations

4208 Rosedale Hwy
Ste 204
Bakersfield, CA 93308
Phone (661) 447-5020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1457406746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 ROSEDALE HWY STE 204",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086172",
            "telephone_number": "661-447-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 ROSEDALE HWY STE 204",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086172",
            "telephone_number": "661-447-5020",
            "fax_number": "310-889-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10780 Santa Monica Blvd",
            "address_2": "suite 470",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900254749",
            "country_code": "US",
            "telephone_number": "310-475-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENIO-IPEKJIAN",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "MPT,DPT,MTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.