Individual provider Active NPI

Darren M Deist, PTA

  • Physical Medicine & Rehabilitation Physician
  • Ballwin, MO
National Provider Identifier
1629939061
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2008027204 Issued in MO
Practice address
129 Steamboat LN Apt 101
Apt 101
Ballwin, MO 63011-3258
Phone
(573) 620-2906
NPI assigned
Nov 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2008027204 MO Primary

Addresses

Primary practice location

129 Steamboat LN Apt 101
Apt 101
Ballwin, MO 63011-3258

Mailing address

129 Steamboat LN Apt 101
Ballwin, MO 63011-3258
Phone (573) 620-2906

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

LicenseStateTypeSpecialty
2008027204MOMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1629939061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 STEAMBOAT LN APT 101",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113258",
            "telephone_number": "573-620-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 STEAMBOAT LN APT 101",
            "address_2": "APT 101",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113258",
            "telephone_number": "573-620-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIST",
        "first_name": "DARREN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2008027204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.