Deborah Jane Dennis, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Waunakee, WI
NPI 1487828273 · NPPES record last updated Feb 26, 2015
Key facts
- NPI
- 1487828273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1834 (WI)
- Practice address
- 801 S Klein Dr
Waunakee, WI 53597-1575 - Phone
- (608) 849-5016
- Fax
- (608) 850-6878
- NPI assigned
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1834 | WI | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1834 | WI | Yes |
Addresses
Primary practice location
801 S Klein Dr
Waunakee, WI 53597-1575
Mailing address
801 S Klein Dr
Waunakee, WI 53597-1575
Phone (608) 849-5016
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40057300 | Medicaid | WI |
Other providers in Waunakee, WI
- Aimee M D'Amour
- Subhashish Das
- Dean Health Systems, Inc.
- Dean Retail Services, Inc.
- Twila Ann Dekanich
- Elizabeth A Dillon
- Noelle K. Dowling
- Tara Rene Dull
- Nikara Durst
- Suzanne J Dynneson
All providers in Waunakee, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.