Individual provider Active NPI

Ashok Gupta

  • Physical Therapist
  • Tyler, TX
National Provider Identifier
1124464847
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4303 Issued in NM
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

Updated by the provider on Sep 22, 2020

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 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

LicenseStateTypeSpecialty
4303NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Therapy Management LLC CurrentSince Oct 5, 2025 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.