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

Desta Rowena Anthony, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1093721102

Desta Rowena Anthony, ANP is a Nurse Practitioner in Manlius, New York. Qualified in 2001, 25 years ago. Practices with Select PT, OT and SLP Rehabilitation Ny, PLLC, a 272-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006

Practice location Address checks out

8241 Penstock Way
Manlius, NY 13104-9401
Phone: (315) 559-1965
Fax: (833) 606-0692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F303332 (NY)

Record details

NPI number1093721102
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc — 272 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Manlius