Individual provider Active NPI

Vicki Suzanne Dehner, D.P.T.

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1518247113
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37912 Issued in CA
Practice address
700 Garden View CT Ste 103
Encinitas, CA 92024-2478
Phone
(760) 632-6942
NPI assigned
Aug 26, 2011
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 37912 CA Primary

Addresses

Primary practice location

700 Garden View CT Ste 103
Encinitas, CA 92024-2478

Mailing address

700 Garden View CT Ste 103
Encinitas, CA 92024-2478
Phone (760) 632-6942

Other practice location 1

15725 Pomerado Rd
Suite 115
Poway, CA 92064-2068
Phone (858) 675-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000428 CA Practitioner - Physical Therapist in Private Practice 7618119074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37912CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Fuston Physical Therapy Professional Corporation Current Accepting new patients
Gaspar Physical Therapy a Professional Corporation Physical Therapist CurrentSince May 1, 2015 Accepting new patients
Gaspar Physical Therapy a Professional Corporation Physical Therapist CurrentSince May 1, 2015 Accepting new patients

Locations

6221 Metropolitan St
Ste 101
Carlsbad, CA 92009
Phone (760) 632-6942

700 Garden View Ct
Ste 103
Encinitas, CA 92024
Phone (760) 632-6942

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1518247113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 103",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242478",
            "telephone_number": "760-632-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 103",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242478",
            "telephone_number": "760-632-6942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15725 Pomerado Rd",
            "address_2": "SUITE 115",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642068",
            "country_code": "US",
            "telephone_number": "858-675-7766",
            "fax_number": "858-675-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHNER",
        "first_name": "VICKI",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.