Paul Edward Deshane, PTA
Physical Therapy Assistant in East Ellijay, GA. Individual provider (NPI-1).
NPI number1538099346
StatusActive
Last updated in NPPESMay 22, 2026
Details
- NPI
- 1538099346
- Entity type
- Individual (NPI-1)
- Name
- Mr. Paul Edward Deshane
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2026
- Certification date
- May 22, 2026
- Last updated
- May 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA002769 | GA | Yes |
Practice location
97 Hefner St Ste 100East Ellijay, GA 30540-8268
Phone 706-635-1440
Mailing address
390 Laiken DrJasper, GA 30143-8362
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Other Physical Therapy Assistant providers in East Ellijay, GA
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