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MR. SANTANA ROHAN DEACON MPT
NPI 1568632818
Physical Therapist - Sports in Milwaukee, WI

Active since March 03, 2008
1626 W FOND DU LAC AVE, MILWAUKEE, WI 53205(414) 517-6585 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Santana Rohan Deacon Mpt NPPES

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

MR. SANTANA ROHAN DEACON MPT (NPI 1568632818) is an individual sports provider in Milwaukee, Wisconsin, licensed in Wisconsin (10088-024) and active in the NPI registry since March 2008. He is a graduate of Other (2003).

NPPES Registry Identity

NPI1568632818
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameMR. SANTANA ROHAN DEACONCredential: MPT
Location Address1626 W FOND DU LAC AVEMilwaukee, WI 53205-1228
Mailing Address1626 W Fond Du Lac AveMilwaukee, WI 53205-1228 · (414) 436-5155
Phone(414) 517-6585
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 3, 2008
Last NPPES UpdateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1568632818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in WI · 10088-024
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
1626 W FOND DU LAC AVE, Milwaukee, WI 53205
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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 (PECOS)

Mr. Santana Rohan Deacon Mpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830491679
PECOS Enrollment IDI20160111001382

Medicare Billing Reassignments

2

Medicare enrollment records show Santana Deacon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group-Southeast Wisconsin Inc
2.7 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Wisconsin Luna Care Physical Therapy LLC
81 mi
Physical Therapist
525 JUNCTION RD STE 6500
Madison, WI 53717
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 clinicians in this Medicare group
NPI 1518576164 (866) 525-3175

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

Other Providers at the Same Location NPPES 4

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

YOMEX LLC
Podiatrist
1626 W FOND DU LAC AVE
MILWAUKEE, WI 53205
Milwaukee County (414) 326-9034
YOMEX LLC
Clinic/Center (Podiatric)
1626 W FOND DU LAC AVE
MILWAUKEE, WI 53205
Milwaukee County (414) 326-9034
MILWAUKEE ADVANCED PHYSICAL THERAPY, LLC
Physical Therapist
1626 W FOND DU LAC AVE
MILWAUKEE, WI 53205
Milwaukee County (414) 436-5155
DR. MEXTON M DEACON D.P.M.
Podiatrist (Foot & Ankle Surgery)
1626 W FOND DU LAC AVE, STE 111
MILWAUKEE, WI 53205
Milwaukee County (414) 326-9034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santana Deacon's NPI number?

The NPI number for Santana Deacon is 1568632818. It was assigned to this individual provider in the NPPES registry on March 3, 2008.

Where is Santana Deacon located?

Santana Deacon practices at 1626 W Fond Du Lac Ave, Milwaukee, WI 53205. The listed phone number is (414) 517-6585.

What is Santana Deacon's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Santana Deacon enrolled in Medicare?

Yes. Santana Deacon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Santana Deacon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Santana Deacon reassigns Medicare benefits to 2 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI) and Wisconsin Luna Care Physical Therapy LLC (Madison, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Santana Deacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Santana Deacon was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.