Individual provider Active NPI

Deandrea Thaw, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1619787991
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1399496 Issued in TX
Practice address
11120 Lost Maples TRL
Austin, TX 78748-2436
Phone
(346) 235-9672
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1399496 TX Primary

Addresses

Primary practice location

11120 Lost Maples TRL
Austin, TX 78748-2436

Mailing address

11120 Lost Maples TRL
Austin, TX 78748-2436
Phone (346) 235-9672

Other names 1

  • De'Andrea Thaw Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219000609 TX Practitioner - Physical Therapist in Private Practice 5890275614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1399496TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Senior Living LLC Physical Therapist CurrentSince Feb 3, 2026 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Feb 3, 2026 Accepting new patients

Locations

5800 Granite Pkwy
Ste 325
Plano, TX 75024

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Senior Living LLC 117 clinicians

Practice addresses (Care Compare)

2401 Green Oak Dr
Kingwood, TX 77339-2075
Phone (281) 453-3627

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1619787991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 LOST MAPLES TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482436",
            "telephone_number": "346-235-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 LOST MAPLES TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482436",
            "telephone_number": "346-235-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAW",
        "first_name": "DEANDREA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1399496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DE'ANDREA",
            "last_name": "THAW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.

Verify at the official NPI Registry.