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NPI Code Detail

MEDICARE: DR. DEANNA SIPES PT, DPT

MEDICARE: DR. DEANNA SIPES PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP19212NC

General Provider Information

NPI Number : 1174144414
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEANNA SIPES PT, DPT
Provider Business Mailing Address
First Line : 304 JUDD PLACE DR
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-2386
Country : US
Telephone Number : 919-557-8305
Fax Number :
Provider Business Practice Location Address
First Line : 304 JUDD PLACE DR
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-2386
Country : US
Telephone Number : 919-557-8305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2020
Last Update Date : 01/22/2026

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Directions to “ DR. DEANNA SIPES PT, DPT” Practice Location

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