Deanna M Dethomas, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT20466 Issued in FL

Practice address

7333 International PL
Lakewood Ranch, FL 34240-8418

Phone

(914) 712-5198

NPI assigned

Feb 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Deanna Dethomas Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James Ferrara Lymphedema Therapist LLC 10 clinicians

James Ferrara Lymphedema Therapist LLC 13 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.

• James Ferrara Lymphedema Therapist LLC

  • Occupational Therapist
  • Rotonda West, FL
  • NPI 1932707643

  FL, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Kristen a. E. Bohan, Inc.

  • Clinic/Center
  • Sarasota, FL
  • NPI 1679748867

  Multi-Specialty

  NPD
• Magnolia Medical Group Inc

  • Physical Therapist
  • Greenville, SC
  • NPI 1386629558

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1801135355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 BROAD RIVER RUN",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342227270",
            "telephone_number": "914-712-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 INTERNATIONAL PL",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408418",
            "telephone_number": "914-712-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETHOMAS",
        "first_name": "DEANNA",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5276",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018042-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20466",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "P86854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114633100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deannadethomas@buildingbeyondbasics.com",
            "affiliation": "N",
            "address_1": "7333 International Pl",
            "city": "Lakewood Ranch",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342408418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "DETHOMAS",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter James Dering
• Kristin C Desermia, AU.D.
• Desert Oasis Anesthesiology LLC
• Rylee Ruth Desmarais
• Breanna Destafino
• Adrienne R Devine
• David Dexter
• Diane Bader-Anderson LCSW Inc
• Lizbeth Diaz Olguin
• Ashley Jean Dinkel, PA-C

• All providers in Lakewood Ranch, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.