Provider Demographics
NPI:1720012495
Name:DEMPSEY, DENIS PAUL (PT)
Entity Type:Individual
Prefix:MR
First Name:DENIS
Middle Name:PAUL
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2814 CAMINO DOS RIOS
Mailing Address - Street 2:SUITE 406
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-1134
Mailing Address - Country:US
Mailing Address - Phone:805-375-1461
Mailing Address - Fax:805-498-7613
Practice Address - Street 1:2814 CAMINO DOS RIOS
Practice Address - Street 2:SUITE 406
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-1134
Practice Address - Country:US
Practice Address - Phone:805-375-1461
Practice Address - Fax:805-498-7613
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11942174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW15558Medicare ID - Type UnspecifiedPHYSICAL THERAPY
CAWPT11942AMedicare UPIN