Individual provider Active NPI

Jacob Deal, DPT, PT

  • Physical Therapist
  • Mount Pleasant, TX
National Provider Identifier
1982331815
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1029 County Road 4420
Mount Pleasant, TX 75455-8548
Phone
(903) 399-0050
NPI assigned
Aug 2, 2022
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 Primary

Addresses

Primary practice location

1029 County Road 4420
Mount Pleasant, TX 75455-8548

Mailing address

1029 County Road 4420
Mount Pleasant, TX 75455-8548

Other practice location 1

1406 Shadywood Ln
Mount Pleasant, TX 75455-5337
Phone (903) 572-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103001697 TX Practitioner - Physical Therapist in Private Practice 6608226659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chambers Outpatient Rehab Services LLCGroup PAC ID 1850488370, 15 clinicians

Practice addresses (Care Compare)

1406 Shadywood LN
Mount Pleasant, TX 75455-5337
Phone (903) 572-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chambers Outpatient Rehab Services, LLC Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients

Locations

405 E Marshall St
Gilmer, TX 75644
Phone (903) 402-1052

1406 Shadywood Ln
Mt Pleasant, TX 75455
Phone (903) 572-6100

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1982331815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 COUNTY ROAD 4420",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754558548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 COUNTY ROAD 4420",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754558548",
            "telephone_number": "903-399-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Shadywood Ln",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754555337",
            "country_code": "US",
            "telephone_number": "903-572-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAL",
        "first_name": "JACOB",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.