Individual provider Active NPI

Maya Deuso, DPT

  • Physical Therapist
  • Ankeny, IA
National Provider Identifier
1083419758
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
129088 Issued in IA
Practice address
800 E 1St St Ste 2000
Ankeny, IA 50021-2077
Phone
(515) 643-7555
Fax
(515) 643-7560
NPI assigned
Feb 17, 2025
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 129088 IA Primary

Addresses

Primary practice location

800 E 1St St Ste 2000
Ankeny, IA 50021-2077

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411000908 IA Practitioner - Physical Therapist in Private Practice 7012431091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

800 E 1St St
2000 Mercyone Ankenyt Physical Therapy Clin
Ankeny, IA 50021-2077
Phone (515) 643-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Mar 17, 2025 Accepting new patients
Mercy Clinics, Inc Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients

Locations

1120 Greene St
Adel, IA 50003
Phone (515) 993-4656

3310 SW 9th St
Des Moines, IA 50315
Phone (515) 244-5005

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

25 W Hickman Rd
Ste 300
Waukee, IA 50263
Phone (515) 643-7050

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1083419758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-7555",
            "fax_number": "515-643-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 1ST ST STE 2000",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500212077",
            "telephone_number": "515-643-7555",
            "fax_number": "515-643-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUSO",
        "first_name": "MAYA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "129088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.