Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Siddharth Damodaran

Individual provider Physical Therapist · NPI 1518756014

Siddharth Damodaran is a Physical Therapist in Private Practice in Denton, Texas. Qualified in 2024, 2 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

5017 Teasley Ln Ste 161
Denton, TX 76210-3895
Phone: (940) 220-2283
Fax: (254) 249-1733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (TX)

Record details

NPI number1518756014
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2025
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Denton