Individual provider Active NPI

Deja Charita Linton, PT, DPT

  • Physical Therapist
  • Santa Maria, CA
National Provider Identifier
1730989666
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309563 Issued in CA
Practice address
2011 S Broadway Ste N
Santa Maria, CA 93454-7886
Phone
(805) 440-9318
Fax
(805) 354-7088
NPI assigned
Mar 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12728 SC
Physical Therapist 225100000X 309563 CA Primary
Physical Therapist 225100000X CP046391T GA
Physical Therapist 225100000X CP043048T VA

Addresses

Primary practice location

2011 S Broadway Ste N
Santa Maria, CA 93454-7886

Mailing address

2013 McBee Hwy
Jefferson, SC 29718-9453
Phone (843) 622-4720

Other practice location 1

665 Scranton Rd Ste 3
Brunswick, GA 31520-1976
Phone (912) 280-9205

Other practice location 2

42365 Soave Dr Ste 200
Brambleton, VA 20148-4888
Phone (571) 349-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, GA, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250408003546 VA Practitioner - Physical Therapist in Private Practice 4082138318 Reassigns benefits to 1 organization
I20250415000567 DC Practitioner - Physical Therapist in Private Practice 4082138318 Reassigns benefits to 1 organization
I20250805000981 GA Practitioner - Physical Therapist in Private Practice 4082138318 Reassigns benefits to 1 organization
I20260505004651 CA Practitioner - Physical Therapist in Private Practice 4082138318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2011 S Broadway
Suite N
Santa Maria, CA 93454-7886

408 Higuera St
Suite 200
San Luis Obispo, CA 93401-6133

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12728SCMDPharmacist
309563CAMDPhysical Therapist
CP046391TGAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Jul 22, 2025 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Jul 22, 2025 Accepting new patients

Locations

665 Scranton Rd
Ste 3
Brunswick, GA 31520
Phone (912) 280-9205

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

42365 Soave Dr
Ste 200
Brambleton, VA 20148
Phone (571) 349-3116

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

2960 Chain Bridge Rd
Ste 201
Oakton, VA 22124
Phone (703) 242-3460

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1730989666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 MCBEE HWY",
            "city": "JEFFERSON",
            "state": "SC",
            "postal_code": "297189453",
            "telephone_number": "843-622-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 S BROADWAY STE N",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547886",
            "telephone_number": "805-440-9318",
            "fax_number": "805-354-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Scranton Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315201976",
            "country_code": "US",
            "telephone_number": "912-280-9205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42365 Soave Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brambleton",
            "state": "VA",
            "postal_code": "201484888",
            "country_code": "US",
            "telephone_number": "571-349-3116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINTON",
        "first_name": "DEJA",
        "middle_name": "CHARITA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12728",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309563",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP046391T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP043048T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.