Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deandre Kelly Shanese Small, PT

Individual provider Physical Therapist · NPI 1396312559

Deandre Kelly Shanese Small, PT is a Physical Therapist in Private Practice in Homosassa, Florida. Qualified in 2020, 6 years ago. Practices with Rehab Advantage Solutions, PLLC, a 59-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone: (352) 448-7857
Fax: (352) 382-7781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT36881 (FL)

Record details

NPI number1396312559
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rehab Advantage Solutions, Pllc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Homosassa