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
- Last updated
- 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, 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": "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.