Patricia B Deotte, PT, DPT, GCS

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

40QA00097300 Issued in NJ

Practice address

23 William Penn Rd
Warren, NJ 07059-5046

Phone

(908) 647-5524

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669559456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WILLIAM PENN RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595046",
            "telephone_number": "908-647-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WILLIAM PENN RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595046",
            "telephone_number": "908-647-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOTTE",
        "first_name": "PATRICIA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, GCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA00097300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Physical Therapist in Warren, NJ
• Providers in Warren, NJ by specialty
• Geriatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.