Active NPI
Douglas Deen, MSPT
- Physical Therapist
- Little Rock, AR
National Provider Identifier
1053204941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1752
- Practice address
- 10825 Financial Centre Pkwy Ste 210
Little Rock, AR 72211-3545 - Phone
- (501) 223-8310
- NPI assigned
- May 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1752 | AR | Primary |
Addresses
Primary practice location
10825 Financial Centre Pkwy Ste 210
Little Rock, AR 72211-3545
Mailing address
4305 Gazebo Dr
Conway, AR 72034-8260
Phone (501) 472-0980
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 |
|---|---|---|---|
| PT1752 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1053204941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 GAZEBO DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720348260",
"telephone_number": "501-472-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10825 FINANCIAL CENTRE PKWY STE 210",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113545",
"telephone_number": "501-223-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEN",
"first_name": "DOUGLAS",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT1752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.