Deanna S Raw, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0451 Issued in NV

Practice address

3773 Baker LN Ste 2
Reno, NV 89509-5488

Phone

(775) 826-0557

Fax

(775) 826-0576

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nevada Luna Care Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1457087009
  Medicare reassignment NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780789479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 BAKER LN STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095488",
            "telephone_number": "775-826-0557",
            "fax_number": "775-826-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 BAKER LN STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095488",
            "telephone_number": "775-826-0557",
            "fax_number": "775-826-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAW",
        "first_name": "DEANNA",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Wellness LLC (Raven Wellness)
• Karen Ann Raven, M.D.
• Katherine P Raven, MD
• Grace Pearl Ravenelle
• Megan Nurisa Ravenscroft, PHARMD
• Katherine Rawson
• Rick James Rawson, D.D.S.
• Joanne Ray, LMFT
• Jon W. Ray, M.S.
• Kyle Douglas Ray, ATC

• Physical Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.