Micaela Deese, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA9860 Issued in AL

Practice address

301 Andrews Ave
Fort Rucker, AL 36362

Phone

(334) 255-7169

NPI assigned

Oct 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1568179505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEESE",
        "first_name": "MICAELA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA9860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "micaela.d.deese@health.mil",
            "affiliation": "N",
            "address_1": "301 Andrews Ave",
            "city": "Fort Rucker",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "micaela.d.deese@direct.LAHC.org",
            "affiliation": "N",
            "address_1": "301 Andrews Ave",
            "city": "Fort Rucker",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra D Davis, LPN
• Justin M Davis, NREMT
• Mark William Davis, PARAMEDIC
• Shelby C Davis, LPN
• Justin Dean, EMT-E
• Deborah Anne Delk, APRN-C
• Stephen L Demeter, PARAMEDIC
• Janet Elizabeth Dick-Grace, PH.D.
• Lakeisha Yvette Dickinson, PSYCH TECH
• Sharon Dickman, LPN

• Physical Therapy Assistant in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.