Active NPI
Deanna Michelle Caston
- Physical Therapy Assistant
- Southfield, MI
National Provider Identifier
1932579844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502008763
- Practice address
- 22250 Providence Dr Ste 405
Southfield, MI 48075-6212 - Phone
- (248) 996-1770
- Fax
- (248) 996-1773
- NPI assigned
- Oct 5, 2015
- Last updated
- Apr 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502008763 | MI | Primary |
| Specialist | 174400000X | L2602664 | MI |
Addresses
Primary practice location
22250 Providence Dr Ste 405
Southfield, MI 48075-6212
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Other practice location 1
14800 Farmington Rd
Livonia, MI 48154-5461
Phone (734) 743-8880
Other practice location 2
26750 Providence Pkwy Ste 240
Novi, MI 48374-1211
Phone (248) 687-7440
Other practice location 3
37367 6 Mile Rd
Livonia, MI 48152-2775
Phone (734) 402-2335
Other practice location 4
2700 E Grand River Ave
Howell, MI 48843-8550
Phone (517) 225-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2602664 | MI | MD | Specialist |
| 5502008763 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1932579844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR STE 405",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756212",
"telephone_number": "248-996-1770",
"fax_number": "248-996-1773"
}
],
"practiceLocations": [
{
"address_1": "14800 Farmington Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481545461",
"country_code": "US",
"telephone_number": "734-743-8880",
"fax_number": "734-743-8889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26750 Providence Pkwy Ste 240",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483741211",
"country_code": "US",
"telephone_number": "248-687-7440",
"fax_number": "248-687-7441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37367 6 Mile Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481522775",
"country_code": "US",
"telephone_number": "734-402-2335",
"fax_number": "734-402-2338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 E Grand River Ave",
"address_purpose": "LOCATION",
"city": "Howell",
"state": "MI",
"postal_code": "488438550",
"country_code": "US",
"telephone_number": "517-225-3040",
"fax_number": "517-225-3045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTON",
"first_name": "DEANNA",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502008763",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "L2602664",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.