Active NPI
Abhijeet Deo, PT
- Physical Therapist
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1197090
- Practice address
- 1158 Michener Way
Irving, TX 75063-5443 - Phone
- (214) 784-1779
- NPI assigned
- Aug 1, 2013
- Last updated
- Mar 5, 2020
- 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 | 1197090 | TX | Primary |
Addresses
Primary practice location
1158 Michener Way
Irving, TX 75063-5443
Mailing address
6243 Retail Rd
Dallas, TX 75231-7808
Phone (214) 890-9853
Other practice location 1
6243 Retail Rd
Dallas, TX 75231-7808
Phone (214) 890-9853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1158 Michener Way
Irving, TX 75063-5443
Phone (214) 784-1779
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1197090 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aj Physical Therapy Plus LLC | Physical Therapist | Current | Accepting new patients |
| In-Sync Specialty Home Care LLC | Past | Accepting new patients |
Locations
1400 Preston Rd
Ste 360
Plano, TX 75093
Phone (214) 784-1779
4708 Dexter Dr
Ste 400
Plano, TX 75093
Phone (972) 993-5050
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Plano, TX
- NPI 1295372639
Physical Therapist
-
- Home Health Agency
- Van Alstyne, TX
- NPI 1780922617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1275965188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6243 RETAIL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752317808",
"telephone_number": "214-890-9853",
"fax_number": "214-890-9856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1158 MICHENER WAY",
"city": "IRVING",
"state": "TX",
"postal_code": "750635443",
"telephone_number": "214-784-1779"
}
],
"practiceLocations": [
{
"address_1": "6243 Retail Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752317808",
"country_code": "US",
"telephone_number": "214-890-9853",
"fax_number": "214-890-9856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEO",
"first_name": "ABHIJEET",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-01",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1197090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
- Dent All PLLC (Pioneer Smiles)
- Dental & Medical Transportation Serice LLC
- Dental Experts, PA (Dental Dreams)
- Dental Health Associates of Texas, PC
- Dentasleep PLLC
- Christine Depardo, WHNP-BC
- Dermatology Center,PA (Skin Cancer and Surgery Center)
- Dermatology of Irving PLLC (The Dermatology Center)
- Josie Derosa, D.C.
- Taylor Derousseau, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.