DEANDRE KELLY SHANESE SMALL PT
NPI 1396312559
Physical Therapist in Homosassa, FL

Q: What is Deandre Kelly Small's NPI number?

The NPI number for Deandre Kelly Small is 1396312559. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Q: What is Deandre Kelly Small's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Active since June 07, 2021Accepts Medicare Assignment

8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446(352) 448-7857(352) 382-7781 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Deandre Kelly Shanese Small Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEANDRE KELLY SHANESE SMALL PT (NPI 1396312559) is an individual physical therapist in Homosassa, Florida, licensed in Florida (PT36881) and active in the NPI registry since June 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1396312559

Entity TypeIndividualFemale

Primary Taxonomy225100000X

Provider Legal NameDEANDRE KELLY SHANESE SMALLCredential: PT

Location Address8477 S SUNCOAST BLVDHomosassa, FL 34446-5028

Mailing Address8477 S Suncoast BlvdHomosassa, FL 34446-5028 · (352) 448-7857

Phone(352) 448-7857

Fax(352) 382-7781

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 7, 2021

NPPES CertifiedJune 7, 2021

✔ NPI 1396312559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225100000X

License✔ Licensed in FL · PT36881

Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

Diagnose and manage movement dysfunction and enhance physical and functional abilities.
Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.

PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

8477 S SUNCOAST BLVD, Homosassa, FL 34446

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deandre Kelly Shanese Small Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133529159

PECOS Enrollment IDI20210614001408

Medicare Billing Reassignment

Medicare enrollment records show Deandre Kelly Small reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehab Advantage Solutions, PLLC

0.4 mi

Physical Therapist

8477 S SUNCOAST BLVD
Homosassa, FL 34446

Reassigned Medicare billing, Florida enrollment
30 clinicians in this Medicare group

NPI 1164908307 (800) 381-0822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

2,534 services29 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

1,937 services30 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

728 services22 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

377 services25 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

82 services12 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34446 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN GRADICK

Physical Therapist