Active NPI
Deanna Nicole Palatucci
- Physical Therapist
- Rocky Mount, VA
National Provider Identifier
1679063028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211901
- Practice address
- 300 Pell Ave Ste B
Rocky Mount, VA 24151-1182 - Phone
- (540) 484-1456
- Fax
- (540) 484-1236
- NPI assigned
- May 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305211901 | VA | Primary |
Addresses
Primary practice location
300 Pell Ave Ste B
Rocky Mount, VA 24151-1182
Mailing address
825 Davis St Ste B
Blacksburg, VA 24060-7009
Phone (540) 685-0168
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305211901 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alchemy Sports Performance and Rehabilitation | Current | Accepting new patients | |
| Professional Therapies of Roanoke, Inc. | Past | Accepting new patients | |
| University Physical Therapy Limited Partnership | Multi-Specialty | Past | Accepting new patients |
| University Physical Therapy Limited Partnership | Multi-Specialty | Past | Accepting new patients |
| Professional Therapies of Roanoke, Inc. | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Roanoke, VA
- NPI 1902630403
-
- Rehabilitation Clinic/Center
- Madison Heights, VA
- NPI 1063282184
-
- Rehabilitation Clinic/Center
- Roanoke, VA
- NPI 1982692323
-
- Physical Therapist
- Daleville, VA
- NPI 1104330190
Multi-Specialty
-
- Physical Therapist
- Salem, VA
- NPI 1477893295
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1679063028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 DAVIS ST STE B",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607009",
"telephone_number": "540-685-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PELL AVE STE B",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241511182",
"telephone_number": "540-484-1456",
"fax_number": "540-484-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALATUCCI",
"first_name": "DEANNA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.