Active NPI
Daniel Joseph Derouen, BSPTA
- Physical Therapy Assistant
- Fairfield, TX
National Provider Identifier
1457256273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2188331
- Practice address
- 352 W US Highway 84
Fairfield, TX 75840-4908 - Phone
- (903) 389-7433
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 2188331 | TX | Primary |
Addresses
Primary practice location
352 W US Highway 84
Fairfield, TX 75840-4908
Mailing address
352 W US Highway 84
Fairfield, TX 75840-4908
Phone (903) 389-7433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1457256273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 W US HIGHWAY 84",
"city": "FAIRFIELD",
"state": "TX",
"postal_code": "758404908",
"telephone_number": "903-389-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 W US HIGHWAY 84",
"city": "FAIRFIELD",
"state": "TX",
"postal_code": "758404908",
"telephone_number": "903-389-7433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROUEN",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "BSPTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2188331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, TX
- Jennifer Michelle Chambers
- William S Chambers
- Chest Diagnostic Therapeutic Services, Inc (Multiplex Healthcare Services)
- Coryell County Memorial Hospital Authority (Avir at Reunion)
- Betty Jean Cotton
- Raymond Robert Devanna, PT, DPT
- East Texas Medical Center Fairfield
- East Texas Medical Center Home Services (ETMC Home Health - South, Hospice)
- East Texas Medical Center Home Services (ETMC Home Health - South)
- Jayme Emmons, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.