Gregory James Deppas
Individual provider Active NPI Physical Therapist · Irving, NY
NPI 1972149847 · NPPES record last updated Nov 26, 2019
Key facts
- NPI
- 1972149847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 044642 (NY)
- Practice address
- 845 Main Road
Irving, NY 14081 - Phone
- (716) 951-7000
- NPI assigned
- Nov 26, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044642 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 044642 | NY | Yes |
Addresses
Primary practice location
845 Main Road
Irving, NY 14081
Mailing address
410 Campus Dr Apt 1
Buffalo, NY 14226-3627
Phone (716) 338-6490
Other providers in Irving, NY
- Alexander Campagna
- Michael M Candaras
- Amy Ellen Choboy
- Thomas Charles Ciancio
- David P Vona DPM, LLC
- Jolene Dorsheimer
- Monica E Fellenz
- Kevin G Flanagan
- Cheryl G Garlow
- Shannon Gawronski
All providers in Irving, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2019. 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.