MR. SANTANA ROHAN DEACON (NPI# 1568632818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568632818 |
| Entity Type | Individual |
| Full Name | MR. SANTANA ROHAN DEACON |
| Credential | MPT |
| Practice Address |
1626 W Fond Du Lac Ave Milwaukee WI 53205-1228 |
| Practice Telephone | 4145176585 |
| Mailing Telephone | 4144365155 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
10088-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1626 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53205-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569692 | Milwaukee Advanced Physical Therapy, LLC | Physical Therapist | 1626 W Fond Du Lac Ave, Milwaukee, WI 53205-1228 | 2020-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931691 | The Salvation Army - Wisconsin and Upper Michigan | Counselor | 1730 N 7th Street, Milwaukee, WI 53205 | 2018-08-08 |
| 1821596909 | Robert Leland Goodman | Counselor | 1134 W. North Ave, Second Floor, Milwaukee, WI 53205 | 2018-01-24 |
| 1265980767 | Wisconsin Healthcare Services | Clinic/Center | 2462 West Lisbon Avenue, Milwaukee, WI 53205 | 2016-09-14 |
| 1841667466 | St. Ann Center for Intergenerational Care | Public Health or Welfare | 2450 W North Ave, Milwaukee, WI 53205 | 2015-08-31 |
| 1407252646 | Abdelrahman H. Alarga | Pharmacist | 1919 W North Ave., Milwaukee, WI 53205 | 2014-11-17 |
| 1679981328 | Life Changing Ministries Substance Abuse Services | Clinic/Center | 1134 W North Ave 2nd Floor, Milwaukee, WI 53205 | 2014-07-25 |
| 1891031969 | Robin Michelle Benjamin | Licensed Practical Nurse | 1536 N 20th, Mil., WI 53205 | 2012-12-18 |
| 1275712937 | Bruce G Hartwell | Dentist | 901 W Winnebago St, Suite Ll-01, Milwaukee, WI 53205 | 2007-10-30 |
| 1407978521 | Westside Healthcare Association, Inc | Clinic/Center | 1452 N. 7th Street, Milwaukee, WI 53205 | 2007-04-06 |
| 1740316181 | Neville Winston Duncan | Family Medicine | 1134 W North Ave Fl 2, Milwaukee, WI 53205 | 2007-02-27 |
| Find all providers in zip 53205 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093262578 | Cathy Walls | Physical Therapist | 945 N. 12th St, Milwaukee, WI 53201 | 2016-09-01 |
| 1447706445 | Joby Philip | Physical Therapist | 945 N 12th St, Milwaukee, WI 53233-1305 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952969909 | Brock Andrew Hanke | Physical Therapist | N8218 State Road 28, Mayville, WI 53050-2126 | 2019-06-04 |
| 1962996033 | Keith Alan Knurr | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2018-06-21 |
| 1386180164 | Daniel G Cobian | Physical Therapist | 4602 Eastpark Blvd, Uw Health At The American Center, Madison, WI 53718-2002 | 2017-01-17 |
| 1811439615 | Vicki Roth | Physical Therapist | 2000 E Layton Ave, Suite 160, St Francis, WI 53235-6053 | 2016-11-09 |
| 1205227501 | Marie Kujawa | Physical Therapist | 110 Lone Oak Ln, Hartford Health Center, Hartford, WI 53027-2600 | 2015-02-09 |
| 1043384985 | Gregory Stephan Vergamini | Physical Therapist | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-11-20 |
| 1023046232 | Susan Elizabeth Hardel | Physical Therapist | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2006-06-28 |
| 1679533293 | Sadie Jane Zebell | Physical Therapist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2006-03-27 |
| 1912992702 | Charles Hart | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2005-09-17 |
Please comment or provide details below to improve the information on MR. SANTANA ROHAN DEACON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.