Peter M Desroches, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

J2-0000238 Issued in DE

Practice address

700 W Lea Blvd
Wilmington, DE 19802-2500

Phone

(302) 765-4464

NPI assigned

Dec 2, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1821233008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W LEA BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022500",
            "telephone_number": "302-765-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W LEA BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022500",
            "telephone_number": "302-765-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROCHES",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0000238",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE007800",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 8374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Desantis, AT-C
• Joseph Vincent Deshan
• Sumera B Desilva, PHARM D
• Joseph Desimone Jr.
• Erin Desmond, PT, DPT
• Falon Desselle, LCSW
• Marissa Destefano, PA-C
• John William Dettwyler, PH.D.
• Johanna Foster Detwiler, PA-C
• Charlene Miltz Deuber, APRN

• Physical Therapy Assistant in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Physical Therapy Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.