Active NPI
Evelyn M Deeley, MPT
- Physical Therapist
- Conklin, NY
National Provider Identifier
1710223193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7194642
- Practice address
- 1070 Conklin Rd
Conklin, NY 13748-1133 - Phone
- (607) 768-2262
- NPI assigned
- Dec 12, 2012
- Last updated
- Feb 20, 2013
- 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 | 7194642 | NY | Primary |
Addresses
Primary practice location
1070 Conklin Rd
Conklin, NY 13748-1133
Mailing address
1070 Conklin Rd
Conklin, NY 13748-1133
Phone (607) 768-2262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
709 Conklin Rd
Binghamton, NY 13903-2766
Phone (607) 237-0148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7194642 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deeley Physical Therapy, PC | Current | Accepting new patients |
Locations
709 Conklin Rd
Binghamton, NY 13903
Phone (607) 237-0148
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Binghamton, NY
- NPI 1831430933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1710223193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 CONKLIN RD",
"city": "CONKLIN",
"state": "NY",
"postal_code": "137481133",
"telephone_number": "607-768-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 CONKLIN RD",
"city": "CONKLIN",
"state": "NY",
"postal_code": "137481133",
"telephone_number": "607-768-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEELEY",
"first_name": "EVELYN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "7194642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conklin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.