Deanne Aceto Spear, PT
Individual provider Active NPI Physical Therapist · Sodus Point, NY
NPI 1760638134 · NPPES record last updated Aug 17, 2008
Key facts
- NPI
- 1760638134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8648 (NY)
- Practice address
- 8288 Lake Street Ext
Sodus Point, NY 14555-9614 - Phone
- (315) 945-4482
- NPI assigned
- Aug 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8648 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8648 | NY | Yes |
Addresses
Primary practice location
8288 Lake Street Ext
Sodus Point, NY 14555-9614
Mailing address
8288 Lake Street Ext
Sodus Point, NY 14555-9614
Phone (315) 945-4482
Other providers in Sodus Point, NY
All providers in Sodus Point, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.