Active NPI
Luann A Deter, RPT
- Physical Therapist
- Atlantic, IA
National Provider Identifier
1811147382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02034
- Practice address
- 1200 Brookridge Cir
Atlantic, IA 50022-2304 - Phone
- (615) 896-6400
- NPI assigned
- Sep 22, 2008
- Last updated
- Sep 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02034 | IA | Primary |
Addresses
Primary practice location
1200 Brookridge Cir
Atlantic, IA 50022-2304
Mailing address
53926 Durango Rd
Atlantic, IA 50022-8642
Phone (615) 896-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02034 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1811147382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53926 DURANGO RD",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500228642",
"telephone_number": "615-896-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BROOKRIDGE CIR",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500222304",
"telephone_number": "615-896-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETER",
"first_name": "LUANN",
"middle_name": "A",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "02034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.