Active NPI
Farooq Deep, PT
- Physical Therapist
- San Marcos, TX
National Provider Identifier
1093472482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1355292
- Practice address
- 1150 River Ridge Pkwy Apt 322
San Marcos, TX 78666-6739 - Phone
- (737) 346-1221
- NPI assigned
- Nov 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1355292 | TX | Primary |
Addresses
Primary practice location
1150 River Ridge Pkwy Apt 322
San Marcos, TX 78666-6739
Mailing address
1150 River Ridge Pkwy Apt 322
San Marcos, TX 78666-6739
Phone (737) 346-1221
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 |
|---|---|---|---|
| 1355292 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ir Rehab PC | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Killeen, TX
- NPI 1245785146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637366400000",
"number": "1093472482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 RIVER RIDGE PKWY APT 322",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666739",
"telephone_number": "737-346-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 RIVER RIDGE PKWY APT 322",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666739",
"telephone_number": "737-346-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEP",
"first_name": "FAROOQ",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-20",
"last_updated": "2021-11-20",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1355292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.