Gary M. Deacon
Physical Therapy
181 Fairview Ln, Sonora
California, 95370-4809
209-532-6463 209-532-3420
Gary M. Deacon is a Physical Therapy in Sonora, California. It is located at 181 Fairview Ln, Sonora and it's customer support contact number is 209-532-6463. The authorized person of Gary M. Deacon is Mr. Gary Deacon, P.T. who is Owner of this DME and his contact number is 209-532-6463. Active license number of Gary M. Deacon is PT11939 for Physical Therapy in California. Gary M. Deacon accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Gary M. Deacon is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Gary M. Deacon type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Gary M. Deacon |
| Type: | Physical Therapy |
| Location: | 181 Fairview Ln, Sonora,
California, 95370-4809 |
| Phone: | 209-532-6463 |
| Fax: | 209-532-3420 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Gary Deacon |
| Credentials: | P.T. |
| Position: | Owner |
| Contact Number: | 209-532-6463 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1871711770 |
| NPI Enumeration Date: | 23 Apr, 2007 |
| NPI Last Update On: | 02 Nov, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary M. Deacon are as mentioned below.
| Specialization | License Number | State | Status | |
| Physical Therapy | PT11939 | California | Primary | |
| Durable Medical Equipment & Medical Supplies | PT 11939 | California | Secondary | |
Medicare Enrollment:
Gary M. Deacon is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3274666466 | O20100810000083 | Gary M. Deacon | PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE |
| 3274666466 | O20100930095989 | Gary M. Deacon | DME SUPPLIER - INDEPENDENTLY-PRACTICING PHYSICAL THERAPIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 181 Fairview Ln,
Sonora, California |
| Zip: | 95370-4809 |
| Phone Number: | 209-532-6463 |
| Fax Number: | 209-532-3420 |
Patients can reach Gary M. Deacon at
181 Fairview Ln, Sonora, California or can
call on customer care at 209-532-6463.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.