DR. JEFFERY MICHAEL DEATHERAGE D.C.
NPI 1962784595
Chiropractor - Rehabilitation in Rancho Mirage, CA

Q: What is Jeffery Deatherage's NPI number?

The NPI number for Jeffery Deatherage is 1962784595. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Q: What is Jeffery Deatherage's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Active since September 09, 2011Accepts Medicare Assignment

36101 BOB HOPE DR STE A, RANCHO MIRAGE, CA 92270(760) 321-1315(760) 321-1094 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2026, Aug 1, 2024, Dec 8, 2023 and 1 more (4 updates tracked since 2016).

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About Dr. Jeffery Michael Deatherage D.c. NPPES

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

DR. JEFFERY MICHAEL DEATHERAGE D.C. (NPI 1962784595) is an individual rehabilitation provider in Rancho Mirage, California, licensed in Texas (16116) and active in the NPI registry since September 2011. He is a graduate of Life Chiropractic College (2011).

NPPES Registry Identity

NPI1962784595

Entity TypeIndividualMale

Primary Taxonomy111NR0400X

Provider Legal NameDR. JEFFERY MICHAEL DEATHERAGECredential: D.C.

Location Address36101 BOB HOPE DR STE ARancho Mirage, CA 92270-2001

Mailing Address36101 Bob Hope Dr Ste ARancho Mirage, CA 92270-2001 · (760) 321-1315 · Fax (760) 321-1094

Phone(760) 321-1315

Fax(760) 321-1094

Sole ProprietorYes

Medical School CMSLife Chiropractic CollegeGraduated 2011

Enumeration DateSeptember 9, 2011

Last NPPES UpdateMarch 4, 20264 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1962784595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers

Taxonomy Code111NR0400X

License✔ Licensed in TX · 16116

Definition

Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

36101 BOB HOPE DR STE A, Rancho Mirage, CA 92270

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Other Identifiers 1

Other16116TX · Chiropractic License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffery Michael Deatherage D.c. 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 ID4880836923

PECOS Enrollment IDI20251113002336

Other Providers at the Same Location NPPES 18

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

MRS. MICHELLE MCDANIEL

Social Worker (Clinical)