Deanna Conchita Deleon, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

26970 Issued in FL

Practice address

3248 Lithia Pinecrest Rd Ste 102
Valrico, FL 33596-5682

Phone

(813) 662-1366

NPI assigned

Aug 21, 2016

Last updated

Aug 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1477008316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 12TH ST",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335983409",
            "telephone_number": "813-215-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 LITHIA PINECREST RD STE 102",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965682",
            "telephone_number": "813-662-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "DEANNA",
        "middle_name": "CONCHITA",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "26970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Davies, LMT
• Lauren Rachel Davis, D.C.
• Anya De Frias
• Jerry Deer
• Julie Melene Dekle, M.D.
• Nicole Delli Paoli, LMHC, MCAP, QS
• Regina Dellibovi, SLP
• Karen Ann Derr, D.C.
• Janice Marie Deschenes, MS, PT
• Priscila Dias Nascimento Sander

• Physical Therapy Assistant in Valrico, FL
• Providers in Valrico, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.