Deanna C. Dye, PT
Individual provider Active NPI Physical Therapist · Pocatello, ID
NPI 1891848347 · NPPES record last updated Aug 30, 2016
Key facts
- NPI
- 1891848347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT1657 (ID)
- Practice address
- 650 Memorial Dr
BLDG #68
Pocatello, ID 83209-0001 - Phone
- (208) 282-3495
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1657 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho State University | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1657 | ID | Yes |
Addresses
Primary practice location
650 Memorial Dr
BLDG #68
Pocatello, ID 83209-0001
Mailing address
921 S 8TH Ave
Stop 8045
Pocatello, ID 83209-0002
Phone (208) 282-4307
Other providers in Pocatello, ID
- Amber Durrant
- Victoria Kate Bloomfield Durrant
- Rhonda Lynn Dutcher-Barfuss
- Laura M Duty
- Edith A Dvorak
- Aaron M. Eakman
- Heather Eames
- Earl C Chester Jr. MD PA
- Faith Marie Eastwod
- Lindsay Hibbard Eborn
All providers in Pocatello, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.