Individual provider Active NPI

John David Deeds, ATP

  • Assistive Technology Practitioner Rehabilitation Counselor
  • Hurst, TX
National Provider Identifier
1033498043
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X
License
ATP5470 Issued in TX
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

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
142593601MedicaidTX

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

LicenseStateTypeSpecialty
ATP5470TXMDAssistive Technology Practitioner Rehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.