Active NPI
John David Deeds, ATP
- Assistive Technology Practitioner Rehabilitation Counselor
- Hurst, TX
National Provider Identifier
1033498043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Rehabilitation Counselor
- License
- ATP5470
- Practice address
- 944 Melbourne Rd
Hurst, TX 76053-4633 - Phone
- (817) 589-1110
- Fax
- (817) 595-1984
- NPI assigned
- Aug 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | ATP5470 | TX | Primary |
Addresses
Primary practice location
944 Melbourne Rd
Hurst, TX 76053-4633
Mailing address
944 Melbourne Rd
Hurst, TX 76053-4633
Phone (817) 589-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142593601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP5470 | TX | MD | Assistive Technology Practitioner Rehabilitation Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healthcare Store, Inc | Current | Accepting new patients |
Locations
944 Melbourne Rd
Hurst, TX 76053
Phone (817) 589-1110
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Hurst, TX
- NPI 1073628178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1033498043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 MELBOURNE RD",
"city": "HURST",
"state": "TX",
"postal_code": "760534633",
"telephone_number": "817-589-1110",
"fax_number": "817-595-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 MELBOURNE RD",
"city": "HURST",
"state": "TX",
"postal_code": "760534633",
"telephone_number": "817-589-1110",
"fax_number": "817-595-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEDS",
"first_name": "JOHN",
"middle_name": "DAVID",
"credential": "ATP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-08",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": "TX",
"license": "ATP5470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142593601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.