Patricia Thomas Deatly, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00017600 Issued in NJ

Practice address

2333 Morris Ave
Suite A210
Union, NJ 07083-5714

Phone

(908) 964-8485

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1477748838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "SUITE A210",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "908-964-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "SUITE A210",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "908-964-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATLY",
        "first_name": "PATRICIA",
        "middle_name": "THOMAS",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00017600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Day Star Home Healthcare
• Jesselly De la Cruz, LCSW
• Gian Carlo Ocampo De Lara
• Anthony Patrick De Marco, PSYD
• Rebecca Dean, OTR
• Deena Feldman DDS PA
• Nicholas Anthony Defilippis, M.D.
• Definite Primary Care, LLC
• Leonida Del Rosario-Torres, MD
• Eric J Delaura, D.O.

• Physical Therapy Assistant in Union, NJ
• Providers in Union, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.