Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306770490 Individual Practitioner Male Practitioner

Deandre Medlock , PTA

Physical Therapist • Placerville, CA

Professional Overview & Biography Verified Profile Summary

Deandre Medlock, PTA is a registered healthcare professional specializing in Physical Therapist in Placerville, CA. Practice services are available at 4300 GOLDEN CENTER DR STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4300 Golden Center Dr Ste B

Placerville, CA 956676278

Telephone 5303442045
Fax 5306420794
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Placerville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.6 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
43 Specialists

Practicing in Placerville, CA (22820 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-11
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License CA 53465

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Ronald Thompson , PT

Physical Therapist

NPI 1033108394

Physical Therapist

Dr. Justin Luz , PT, DPT

Physical Therapist

NPI 1275148249

Physical Therapist, Doctor of Physical Therapy

Sung Yong Cho

Physical Therapist - Orthopedic

NPI 1366011421
Kristy English , MPT

Physical Therapist

NPI 1720263593

Master of Physical Therapy

Dr. Bonny Barts , PT, DPT

Physical Therapist

NPI 1801832993

Physical Therapist, Doctor of Physical Therapy

NPI 1811075120

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 11, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2026

Registered at 4300 GOLDEN CENTER DR STE B, PLACERVILLE, CA 956676278 (Tel: 5303442045)

📍
Updated Business Mailing Address June 11, 2026

Registered at 4304 DEERGRASS ST, RANCHO CORDOVA, CA 957428278

👤
Provider Name / Credentials Updated June 11, 2026

Recorded as DEANDRE MEDLOCK, PTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2026

Physical Therapist (License #53465 in CA)

🟢
Initial NPI Registration & Enumeration June 11, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Deandre Medlock. Be the first to share your experience!

Sign in to leave a review for Deandre Medlock

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306770490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2026
Last Update: June 11, 2026
Sole Proprietor: No

Mailing Address

4304 Deergrass St

Rancho Cordova, CA 957428278

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.