Abhijeet Deo, PT
Individual provider Active NPI Physical Therapist · Irving, TX
NPI 1275965188 · NPPES record last updated Mar 5, 2020
Key facts
- NPI
- 1275965188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1197090 (TX)
- Practice address
- 1158 Michener Way
Irving, TX 75063-5443 - Phone
- (214) 784-1779
- NPI assigned
- Aug 1, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200402001709 | TX | Practitioner - Physical Therapist in Private Practice | 6002040599 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
4708 Dexter Dr
Ste 400
Plano, TX 75093
Phone (214) 784-1779
1400 Preston Rd
Ste 360
Plano, TX 75093
Phone (214) 784-1779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1197090 | TX | Yes |
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
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.