Active NPI
Ashok Gupta
- Physical Therapist
- Tyler, TX
National Provider Identifier
1124464847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4303
- Practice address
- 1918 E Front St Ste a
Tyler, TX 75702-8511 - Phone
- (903) 609-1609
- NPI assigned
- May 21, 2013
- 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 | 4303 | NM | Primary |
Addresses
Primary practice location
1918 E Front St Ste a
Tyler, TX 75702-8511
Mailing address
1918 E Front St
Tyler, TX 75702-8511
Phone (903) 609-1609
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4303 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Therapy Management LLC | Current | Accepting new patients | |
| Aria at Home Care LLC | Physical Therapist | Current | Accepting new patients |
| Reunion Inn Assisted Living LLC | Current | Accepting new patients | |
| Medpro Healthcare Staffing | Past | Accepting new patients |
Locations
1918 E Front St
#A
Tyler, TX 75702
Phone (903) 609-1609
1918 E Front St
Tyler, TX 75702
Phone (844) 797-0669
Interoperability endpoints
- ashok.gupta.1@18804.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Assisted Living Facility
- Henderson, TX
- NPI 1376416875
-
- Physical Therapist
- Tyler, TX
- NPI 1306778444
-
- Assisted Living Facility
- Tyler, TX
- NPI 1114895562
-
- Rehabilitation Hospital
- Sunrise, FL
- NPI 1922342021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1124464847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 E FRONT ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757028511",
"telephone_number": "903-609-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 E FRONT ST STE A",
"city": "TYLER",
"state": "TX",
"postal_code": "757028511",
"telephone_number": "903-609-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ASHOK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.