Individual provider Active NPI

Gilberto De Leon, PT,DPT

  • Physical Therapist
  • Mission, TX
National Provider Identifier
1023372281
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1192973 Issued in TX
Practice address
1616 E Griffin Pkwy # 184
Mission, TX 78572-3180
Phone
(956) 583-2995
NPI assigned
Jul 2, 2012
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 1192973 TX Primary

Addresses

Primary practice location

1616 E Griffin Pkwy # 184
Mission, TX 78572-3180

Mailing address

1616 E Griffin Parkway PMB 184
Mission, TX 78572-8477
Phone (956) 583-2995

Other practice location 1

101 Buenavista St Ste A
Penitas, TX 78576-2247
Phone (956) 766-7133

Other identifiers 1

IdentifierTypeStateIssuer
3148652-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000708 TX Practitioner - Physical Therapist in Private Practice 9335305861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Terry Physical Therapy PCGroup PAC ID 7012048192, 2 clinicians

Practice addresses (Care Compare)

1918 E Griffin Pkwy
Mission, TX 78572-3106
Phone (956) 583-2995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Terry Physical Therapy PC CurrentSince Jul 1, 2012 Accepting new patients
Physiocare Therapy, PC Physical Therapist PastSince Jul 1, 2012 Accepting new patients

Locations

1616 E Griffin Pkwy
Mission, TX 78572
Phone (956) 583-2995

1918 E Griffin Pkwy
Mission, TX 78572
Phone (956) 583-2995

101 Buena Vista St
Ste A
Penitas, TX 78576
Phone (956) 766-7133

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, 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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1023372281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E GRIFFIN PARKWAY PMB 184",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785728477",
            "telephone_number": "956-583-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E GRIFFIN PKWY # 184",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723180",
            "telephone_number": "956-583-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Buenavista St Ste A",
            "address_purpose": "LOCATION",
            "city": "Penitas",
            "state": "TX",
            "postal_code": "785762247",
            "country_code": "US",
            "telephone_number": "956-766-7133",
            "fax_number": "956-583-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "GILBERTO",
        "name_prefix": "Mr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1192973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148652-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.