Maryanne Deputron, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0001053 Issued in DE

Practice address

1651-53 Pulaski Highway
Bear, DE 19701-1453

Phone

(302) 834-1550

Fax

(302) 834-1549

NPI assigned

May 19, 2006

Last updated

Jul 23, 2015By the provider in NPPES

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

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dynamic Physical Therapy

  • Physical Therapist
  • Bear, DE
  • NPI 1306875984
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1629021464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVENUE, SUITE 308",
            "address_2": "119 PROFESSIONAL BUILDING",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013508",
            "telephone_number": "724-801-8095",
            "fax_number": "724-801-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651-53 PULASKI HIGHWAY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011453",
            "telephone_number": "302-834-1550",
            "fax_number": "302-834-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUTRON",
        "first_name": "MARYANNE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001053",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009263L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "20029500000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "836024",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "146334VLZ",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00692858",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629021464",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3556042",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "AC44-0021",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "836024",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaware Therapeutics Inc
• Delaware Therapeutics, LLC
• Karlyn Michelle Demaris
• Rachel Eileen Denis, MS, OTR/L
• Dental Bear LLC
• Jasmin Desai
• Joseph J Desimone, HIS
• Samuel Devard
• Laurence Devlin
• Caren M Dibattista

• Physical Therapist in Bear, DE
• Providers in Bear, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.