Active NPI
Courtney Rae Deshong, PT
- Physical Therapist
- Anderson, IN
National Provider Identifier
1689624546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008724A
- Practice address
- 2610 Enterprise Dr
Anderson, IN 46013-9684 - Phone
- (765) 608-3970
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 05008724A | IN | Primary |
Addresses
Primary practice location
2610 Enterprise Dr
Anderson, IN 46013-9684
Mailing address
21542 Hanstock Dr
Noblesville, IN 46062-9345
Phone (260) 348-1519
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 |
|---|---|---|---|
| 05008724A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Medical Rehabilitation Clinics Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Portage, IN
- NPI 1225033202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1689624546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21542 HANSTOCK DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460629345",
"telephone_number": "260-348-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 ENTERPRISE DR",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460139684",
"telephone_number": "765-608-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHONG",
"first_name": "COURTNEY",
"middle_name": "RAE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008724A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.