Active NPI
John Savel Deguzman, PTA
- Physical Therapy Assistant
- Youngsville, NC
National Provider Identifier
1235694704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A8909
- Practice address
- 1620 US 1 Hwy
Youngsville, NC 27596-9219 - Phone
- (984) 237-0096
- Fax
- (800) 877-3496
- NPI assigned
- Feb 8, 2019
- 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 Therapy Assistant | 225200000X | A8909 | NC | Primary |
Addresses
Primary practice location
1620 US 1 Hwy
Youngsville, NC 27596-9219
Mailing address
1620 US 1 Hwy
Youngsville, NC 27596-9219
Phone (984) 237-0096
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polaris Rehabilitation, LLC | Current | Accepting new patients |
Locations
3206 Heritage Trade Dr
Ste 114
Wake Forest, NC 27587
Phone (919) 435-7719
1620 US 1 Hwy
Youngsville, NC 27596
Phone (984) 237-0096
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.
-
- Prosthetic/Orthotic Supplier
- Youngsville, NC
- NPI 1114467701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1235694704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 US 1 HWY",
"city": "YOUNGSVILLE",
"state": "NC",
"postal_code": "275969219",
"telephone_number": "984-237-0096",
"fax_number": "800-877-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 US 1 HWY",
"city": "YOUNGSVILLE",
"state": "NC",
"postal_code": "275969219",
"telephone_number": "984-237-0096",
"fax_number": "800-877-3496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGUZMAN",
"first_name": "JOHN",
"middle_name": "SAVEL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-08",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A8909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.