Active NPI
Deshaun Squires, MS, OT
- Occupational Therapist
- Ft. Hood, TX
National Provider Identifier
1083368963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 09478
- Practice address
- 590 Medical Center Rd.
Ft. Hood, TX 76544-5060 - Phone
- (803) 457-9611
- NPI assigned
- Feb 9, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 09478 | MD | Primary |
Addresses
Primary practice location
590 Medical Center Rd.
Ft. Hood, TX 76544-5060
Mailing address
590 Medical Center Rd.
Ft. Hood, TX 76544-5060
Phone (803) 457-9611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09478 | Other | MD | MARYLAND DEPARTMENT OF HEALTH |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09478 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1083368963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER RD.",
"city": "FT. HOOD",
"state": "TX",
"postal_code": "765445060",
"telephone_number": "803-457-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER RD.",
"city": "FT. HOOD",
"state": "TX",
"postal_code": "765445060",
"telephone_number": "803-457-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIRES",
"first_name": "DESHAUN",
"credential": "MS, OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-09",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "09478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND DEPARTMENT OF HEALTH",
"identifier": "09478",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft. Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.