Individual provider Active NPI

Denysius Jose G Ang

  • Physical Therapist
  • Harlingen, TX
National Provider Identifier
1013117829
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1163130 Issued in TX
Practice address
702 N Ed Carey Dr
Harlingen, TX 78550-7914
Phone
(956) 440-0609
Fax
(956) 425-9840
NPI assigned
Jul 19, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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 1163130 TX Primary

Addresses

Primary practice location

702 N Ed Carey Dr
Harlingen, TX 78550-7914

Mailing address

702 N Ed Carey Dr
Harlingen, TX 78550-7914
Phone (956) 440-0609

Other identifiers 1

IdentifierTypeStateIssuer
1163130OtherTXSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000675 TX Practitioner - Physical Therapist in Private Practice 8729029558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Rehab LLCGroup PAC ID 5597134494, 4 clinicians

Practice addresses (Care Compare)

309 S Stuart Place Rd
Harlingen, TX 78552-6447
Phone (956) 230-2431

309 Stuart Place Rd
Harlingen, TX 78552-6447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1163130TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Rehab LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Sion Kidz, LLC Physical Therapist Past Accepting new patients
Huffman Rehab PLLC Physical Therapist Past Accepting new patients

Locations

1243 N Stuart Place Rd
Harlingen, TX 78552

309 S Stuart Place Rd
Harlingen, TX 78552
Phone (956) 230-2431

Organizations & group practices 3

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1013117829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507914",
            "telephone_number": "956-440-0609",
            "fax_number": "956-425-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507914",
            "telephone_number": "956-440-0609",
            "fax_number": "956-425-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANG",
        "first_name": "DENYSIUS JOSE",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1163130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1163130",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.