Paula M Defrees, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38729 Issued in CA

Practice address

70-078 Country Club Dr.
Suite 205
Bermuda Dunes, CA 92203

Phone

(760) 345-9934

Fax

(760) 345-3086

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1891828141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 N MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021252",
            "telephone_number": "708-763-5540",
            "fax_number": "708-383-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70-078 COUNTRY CLUB DR.",
            "address_2": "SUITE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "92203",
            "telephone_number": "760-345-9934",
            "fax_number": "760-345-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREES",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070-005572",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "140049",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Chatfield, MPT
• Clinica del Sol Medical Group Inc
• Shelley A Cooper, PT
• Larry Dana Copus, RPH
• Daniel O Tolhurst DDS Inc
• Rebekah Dennison, LMT
• Desert Advanced Imaging Center
• Desert Medical Group
• Craig N. Estes, PA
• Catherine Falcone

• Physical Therapist in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.