Individual provider Active NPI

Deepthi Reddy Bandi, P.T

  • Physical Therapist
  • McKinney, TX
National Provider Identifier
1780700674
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1249388 Issued in TX
Practice address
7210 Linkside Point Dr
McKinney, TX 75071-5154
Phone
(972) 547-6800
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0002085 DE
Physical Therapist 225100000X 1249388 TX Primary

Addresses

Primary practice location

7210 Linkside Point Dr
McKinney, TX 75071-5154

Mailing address

12114 Lazio LN
Frisco, TX 75035-2214
Phone (302) 312-3868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824000409 TX Practitioner - Physical Therapist in Private Practice 9234534629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

20302 Bulverde Rd
San Antonio, TX 78259-3333
Phone (210) 497-6703

2500 Windhaven Pkwy
Lewisville, TX 75056-5824
Phone (972) 810-0938

2600 Windhaven Pkwy
Lewisville, TX 75056-6931
Phone (910) 724-7770

3300 S Stonebridge Dr
McKinney, TX 75070-5921
Phone (214) 592-0655

3405 El Salido Pkwy
Cedar Park, TX 78613-5640
Phone (512) 270-2247

350 S Hardin Blvd
McKinney, TX 75072-1265
Phone (469) 352-4096

4320 Creek Valley Blvd
Carrollton, TX 75010-1238
Phone (469) 669-2948

5417 Altamesa Blvd
Ft Worth, TX 76123-2804
Phone (817) 370-6222

5701 Virginia Pkwy
McKinney, TX 75071-5652
Phone (214) 592-0212

7001 W Plano Pkwy
Plano, TX 75093-8867
Phone (972) 810-0131

7210 Linkside Point Dr
McKinney, TX 75071-5154
Phone (214) 592-0228

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0002085DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince May 18, 2021 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince May 18, 2021 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

7210 Linkside Point Dr
McKinney, TX 75071
Phone (214) 592-0228

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1780700674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12114 LAZIO LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352214",
            "telephone_number": "302-312-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 LINKSIDE POINT DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715154",
            "telephone_number": "972-547-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDI",
        "first_name": "DEEPTHI",
        "middle_name": "REDDY",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002085",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1249388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.