Individual provider Active NPI

Deanna L Lusty, PT, MPT, ATP/SMS

  • Pediatric Physical Therapist
  • Dallas, TX
National Provider Identifier
1508777137
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1172599 Issued in TX
Practice address
2222 Medical District Dr Ste 210
Dallas, TX 75235-8075
Phone
(214) 867-6985
NPI assigned
Sep 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1172599 TX Primary

Addresses

Primary practice location

2222 Medical District Dr Ste 210
Dallas, TX 75235-8075

Mailing address

410 Parkwood LN
Coppell, TX 75019-6025
Phone (972) 989-9100

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": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1508777137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PARKWOOD LN",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196025",
            "telephone_number": "972-989-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 MEDICAL DISTRICT DR STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358075",
            "telephone_number": "214-867-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTY",
        "first_name": "DEANNA",
        "middle_name": "L",
        "credential": "PT, MPT, ATP/SMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1172599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.