Active NPI
Deborah Louise Dutton, PT
- Physical Therapist
- Toledo, OH
National Provider Identifier
1497933444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004469
- Practice address
- 3425 Executive Pkwy
Suite 128
Toledo, OH 43606-1326 - Phone
- (419) 537-0764
- Fax
- (419) 537-0948
- NPI assigned
- Feb 1, 2008
- Sex
- Female
- Sole proprietor
- No
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 | PT004469 | OH | Primary |
Addresses
Primary practice location
3425 Executive Pkwy
Suite 128
Toledo, OH 43606-1326
Mailing address
2061 Stringtown Rd
Grove City, OH 43123-2930
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT004469 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1497933444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 STRINGTOWN RD",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431232930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 EXECUTIVE PKWY",
"address_2": "SUITE 128",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061326",
"telephone_number": "419-537-0764",
"fax_number": "419-537-0948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTON",
"first_name": "DEBORAH",
"middle_name": "LOUISE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT004469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.