Individual provider Active NPI

Janice Marie Deschenes, MS, PT

  • Geriatric Physical Therapist
  • Valrico, FL
National Provider Identifier
1639289895
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT 21539 Issued in FL
Practice address
4621 River Overlook Dr
Valrico, FL 33596-7878
Phone
(813) 417-6832
Fax
(813) 651-1700
NPI assigned
Aug 30, 2006
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT 21539 FL Primary
Geriatric Physical Therapist 2251G0304X 15124 MA

Addresses

Primary practice location

4621 River Overlook Dr
Valrico, FL 33596-7878

Mailing address

4621 River Overlook Dr
Valrico, FL 33596-7878
Phone (813) 417-6832

Other identifiers 2

IdentifierTypeStateIssuer
000412000MedicaidFL
889724700MedicaidFL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15124MAMDOral and Maxillofacial Surgery (Dentist)
PT 21539FLMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1639289895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 RIVER OVERLOOK DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967878",
            "telephone_number": "813-417-6832",
            "fax_number": "813-651-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 RIVER OVERLOOK DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967878",
            "telephone_number": "813-417-6832",
            "fax_number": "813-651-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHENES",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT 21539",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MA",
            "license": "15124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000412000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889724700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.