Jesus Antonio Decena

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2626 N Michigan Ave
Saginaw, MI 48604-2422

Phone

(989) 233-8288

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1982828653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 QUAIL ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244202",
            "telephone_number": "989-233-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042422",
            "telephone_number": "989-233-8288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7315 Quail St",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490244202",
            "country_code": "US",
            "telephone_number": "989-233-8288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECENA",
        "first_name": "JESUS",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST ASSISTANT",
            "identifier": "5502000539",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jadecena@hotmail.com",
            "affiliation": "N",
            "address_1": "7315 Quail St",
            "city": "Portage",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490244202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meagan Johanna Dean, PHARMD
• Olivia Madison Dean, RN
• Christa Deban
• Rachel Deboer
• Deborah L Russell MD PLLC
• Jack Decker, CRNA
• Joseph Decker
• Helen Judith Decorte, N.P.
• Virginia Dedicatoria, M.D.
• John M Dee, DDS

• Physical Therapy Assistant in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.