Deborah Deshazo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00002858 Issued in WA

Practice address

10171 Chumstick Hwy Ste 1
Leavenworth, WA 98826-8762

Phone

(509) 548-3133

NPI assigned

Jun 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Washington School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt Stuart PT PSGroup PAC ID 9335133016, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mt. Stuart P.T., P.S.

  • Physical Therapist
  • Leavenworth, WA
  • NPI 1295805737
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1902582091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10171 CHUMSTICK HWY STE 1",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988268762",
            "telephone_number": "509-548-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10171 CHUMSTICK HWY STE 1",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988268762",
            "telephone_number": "509-548-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAZO",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt S Conner, PA
• Cornerstone Community
• Lucca Criminale, PA-C
• Amy Cummings
• John R Deliduka, MD
• Suzan Marie Dickinson, M.A., LMFT
• Susan Lee Dodge, LMHC
• Elan, PLLC
• Theresa Emery, LICSW
• Emily Brown Physical Therapy

• Physical Therapist in Leavenworth, WA
• Providers in Leavenworth, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.