Jacqueline Frances Deron, P.T., M.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501001061 Issued in MI

Practice address

2215 Fuller Rd
117-B
Ann Arbor, MI 48105-2335

Phone

(734) 769-7100

Fax

(734) 213-6947

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1558460436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD",
            "address_2": "117B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303",
            "telephone_number": "734-769-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD",
            "address_2": "117-B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052335",
            "telephone_number": "734-769-7100",
            "fax_number": "734-213-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERON",
        "first_name": "JACQUELINE",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "P.T., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001061",
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "MI",
            "license": "5501001061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Depestel, NURSE PRACTIONER
• Warren S Deppong, PHARMD
• Alana Deriggi, LMSW
• Andrew J Dering, MD
• Dermatology Specialists of Ann Arbor, PLLC
• Nicole L Derrick, PA-C
• Elisa Jane Derrig, CRNA
• Adam T Derubeis, PA-C
• Robyn Lyn Deruyver, CRNA
• Carla Natasha Desa

• Physical Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.