WILMER PAUL DESHNER, PT — NPI 1215416425 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in GRIDLEY, CA)

CMS-1500 Box 24J / 33a • NPI

1215416425

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

261QP2000X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

240 SPRUCE ST, GRIDLEY, CA, 95948-2216

✓ 9-Digit EDI 837 ZIP+4 (95948-2216)

Practice Phone & Referral Fax

(530) 846-9000

Fax: (530) 846-9027

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215416425 (WILMER PAUL DESHNER, PT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215416425` (NPI-1 Individual Practitioner)
Provider / Legal Name	WILMER PAUL DESHNER, PT
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QP2000X` (Clinic/Center, Physical Therapy)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	240 SPRUCE ST, GRIDLEY, CA, 95948-2216
Practice Telephone / Fax	Tel: (530) 846-9000 \| Fax: (530) 846-9027
Administrative Mailing Address	5041 VICTOR CT, MISSOULA, MT, 59803-9678
Enumeration & Last Sync	Enumerated: 2018-08-08 \| CMS Record Updated: 2018-08-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

240 SPRUCE ST, GRIDLEY, CA, 95948-2216

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Plain-English Taxonomy & CMS Crosswalk (261QP2000X)

What Does Taxonomy Code 261QP2000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (WILMER PAUL DESHNER, PT)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QP2000X` — Clinic/Center, Physical Therapy Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MT \| License: `PTP--PT-LIC-1060` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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WILMER PAUL DESHNER, PT (NPI #1215416425)