Individual provider Active NPI

Stephen Bernard Deuley

  • Physical Therapist
  • Chagrin Falls, OH
National Provider Identifier
1508580556
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3921 Issued in OH
Practice address
8501 Peppermill Run
Chagrin Falls, OH 44023-1863
Phone
(216) 401-7520
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 3921 OH Primary

Addresses

Primary practice location

8501 Peppermill Run
Chagrin Falls, OH 44023-1863

Mailing address

8501 Peppermill Run
Chagrin Falls, OH 44023-1863
Phone (216) 401-7520

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

LicenseStateTypeSpecialty
3921OHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1508580556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 PEPPERMILL RUN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231863",
            "telephone_number": "216-401-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 PEPPERMILL RUN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231863",
            "telephone_number": "216-401-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEULEY",
        "first_name": "STEPHEN",
        "middle_name": "BERNARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "3921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.