Active NPI
Kaitlin Deegan, PT,DPT
- Physical Therapist
- Franklin Square, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 053616
- Practice address
- 820 Hempstead Tpke
Franklin Square, NY 11010-4339 - Phone
- (516) 358-8911
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
NY, Physical Therapist
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RB Physical and Occupational Therapy, PLLC
Practice addresses (Care Compare)
820 Hempstead Tpke
Franklin Square, NY 11010-4339
Phone (516) 358-8911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241220000859 | NY | Practitioner - Physical Therapist in Private Practice | 9032646633 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053616 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| One on One Physical Therapy Services PLLC | Physical Therapist | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400
820 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 216-5230
231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 053616 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
820 Hempstead Tpke
Franklin Square, NY 11010-4339
Mailing address
97 Sunrise LN
Levittown, NY 11756-4407
Phone (516) 639-9568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2024.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1992521132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 SUNRISE LN",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117564407",
"telephone_number": "516-639-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 HEMPSTEAD TPKE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110104339",
"telephone_number": "516-358-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEGAN",
"first_name": "KAITLIN",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "053616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.