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

Mr. Santana Rohan Deacon, MPT

Individual provider Sports Physical Therapist · NPI 1568632818

Mr. Santana Rohan Deacon, MPT is a Physical Therapist in Private Practice in Milwaukee, Wisconsin. Qualified in 2003, 23 years ago. Licensed in Wisconsin.

Years since qualifying
23
Licensed in
WI
In the registry since
2008
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1626 W Fond Du Lac Ave
Milwaukee, WI 53205-1228
Phone: (414) 517-6585
Show map & directions

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

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 10088-024 (WI)

Record details

NPI number1568632818
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedMarch 3, 2008
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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