Deena Joelle Stern, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6817 Issued in NC

Practice address

1202 E Main St
Havelock, NC 28532-2405

Phone

(252) 447-4005

Fax

(252) 447-4001

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Deena Joelle Brisco Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Sports and Physical Therapy LLCGroup PAC ID 0749276426, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Performance Sports and Physical Therapy, LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1194714063
  Medicare reassignment Care Compare group NPD
• Havelock Peak Performance Sports & Physical Therapy, LLC

  • Physical Therapist
  • Havelock, NC
  • NPI 1588623847
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1720034564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13609",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285613609",
            "telephone_number": "252-636-9800",
            "fax_number": "252-636-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E MAIN ST",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322405",
            "telephone_number": "252-447-4005",
            "fax_number": "252-447-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "DEENA",
        "middle_name": "JOELLE",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "6817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "078GK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211171",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEENA",
            "last_name": "BRISCO",
            "middle_name": "JOELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Smith, LCMHCA
• Matthew Robert Snow, MD
• Kourtnee Ann Nicole Stater, CERTIFIED BIRTHDOULA
• Hannah Steinholtz
• Leanne Stephens, COTA/L
• Still Ground Counseling, PLLC
• Mary Anna Tayloe
• Lourie Ann Teasdell-Best
• Kaitlyn Thomesen, MD
• Carolyn Welch Thompson, PTA

• Physical Therapist in Havelock, NC
• Providers in Havelock, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.

Verify at the official NPI Registry.