Priscilla Therese Decianne, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7868 Issued in CO

Practice address

5713 Reed St
Arvada, CO 80002-2645

Phone

(303) 463-5864

NPI assigned

Jul 21, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• First Steps Pediatric Therapy Inc

  • Home Health Agency
  • Centennial, CO
  • NPI 1023420767
  NPD (past)

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184976000000",
    "number": "1902006513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 REED ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022645",
            "telephone_number": "303-463-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 REED ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022645",
            "telephone_number": "303-463-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECIANNE",
        "first_name": "PRISCILLA",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-21",
        "last_updated": "2007-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7868",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "7868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52287041",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gladys Ann Day, MED, LPC
• Nathan Allan De Graaf, DPT
• Sabrina De Leon, PHA
• Mark D. Dean, D.D.S.
• Samantha Dean, LMT
• Decook Mental Health Services, PLLC
• Ryan Decook, LCSW
• Norah Dee, MA, CCC-SLP
• Jessica Rene Defenderfer, PHD
• Maya Ann Degraff

• Physical Therapist in Arvada, CO
• Providers in Arvada, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2007; 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.