Ketaki Deo, PT
Individual provider Active NPI Physical Therapist · Corinth, TX
NPI 1013498674 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1013498674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1246290 (TX)
- Practice address
- 3511 Corinth Pkwy
Corinth, TX 76208-5384 - Phone
- (619) 200-3109
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1246290 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1246290 | TX | Yes |
Addresses
Primary practice location
3511 Corinth Pkwy
Corinth, TX 76208-5384
Mailing address
11004 Coralberry Dr
Frisco, TX 75033-3109
Phone (619) 200-3109
Other practice location 1
2244 Brinker Rd
Denton, TX 76208-6120
Phone (940) 380-9660
Other providers in Corinth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.