Active NPI
Declan Gerard Geraghty
- Orthopedic Physical Therapist
- Austin, TX
National Provider Identifier
1407312804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1306381
- Practice address
- 3201 Bee Caves Rd Ste 121
Austin, TX 78746-7060 - Phone
- (512) 987-4409
- NPI assigned
- Feb 11, 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1306381 | TX | Primary |
Addresses
Primary practice location
3201 Bee Caves Rd Ste 121
Austin, TX 78746-7060
Mailing address
807 W Lynn St Apt 208
Austin, TX 78703-4767
Phone (847) 565-9670
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1306381 | TX | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1407312804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 W LYNN ST APT 208",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034767",
"telephone_number": "847-565-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 BEE CAVES RD STE 121",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467060",
"telephone_number": "512-987-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERAGHTY",
"first_name": "DECLAN",
"middle_name": "GERARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1306381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Sherien George, PA-C
- Vimal T George, MD
- Daphney Abraham Georges-Pierre, FNP-BC
- Georgeta Varga MD Parkinson Disease Movement Disorders Clinic PLLC
- Richard B Geraci, MS PT
- Catherine L Geralds, D.O.
- Christine M. Gerard, M.S., CCC-SLP
- Daniela S Gerard, MD, PHD
- Michele K Gerard, D.C.
- Brenna K Gerdelman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.