Active NPI
Michael G. Joseph, PT, LAT, ATC
- Sports Physical Therapist
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 1032357
- Practice address
- 3121 University Dr E Ste 100
Bryan, TX 77802-3499 - Phone
- (979) 776-0169
- Fax
- (979) 776-1372
- NPI assigned
- Sep 8, 2008
- Sex
- Male
- Sole proprietor
- No
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.
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Texas Medical Branch at Galveston, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brazos Valley Physicians Alliance
Practice addresses (Care Compare)
3121 University Dr E
100 Central Texas Sports Medicine and Ort
Bryan, TX 77802-3499
Phone (979) 776-0169
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.62 of 100
- Quality
- 58.26
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 76.3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090504000656 | TX | Practitioner - Physical Therapist in Private Practice | 6204984040 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032357 | TX | MD | Orthopedic Physical Therapist |
| AT0961 | TX | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Valley Physicians Alliance | Current | Accepting new patients | |
| Brazos Valley Physicians Alliance | Sports | Current | Accepting new patients |
Locations
3121 University Dr E
Ste 100
Bryan, TX 77802
Phone (979) 776-0169
3201 University Dr E
Ste 3
Bryan, TX 77802
Phone (979) 704-5029
Interoperability endpoints
- michael.joseph.1@25466.direct.athenahealth.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT0961 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | 1032357 | TX | |
| Sports Physical Therapist | 2251S0007X | 1032357 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3121 University Dr E Ste 100
Bryan, TX 77802-3499
Mailing address
3121 University Dr E Ste 100
Bryan, TX 77802-3499
Phone (979) 776-0169
Other practice location 1
3201 University Dr E
Suite 115
Bryan, TX 77802-3476
Phone (979) 776-0169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2020.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1043468515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 UNIVERSITY DR E STE 100",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023499",
"telephone_number": "979-776-0169",
"fax_number": "979-776-1372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 UNIVERSITY DR E STE 100",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023499",
"telephone_number": "979-776-0169",
"fax_number": "979-776-1372"
}
],
"practiceLocations": [
{
"address_1": "3201 University Dr E",
"address_2": "Suite 115",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "TX",
"postal_code": "778023476",
"country_code": "US",
"telephone_number": "979-776-0169",
"fax_number": "979-776-1372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "MICHAEL",
"middle_name": "G.",
"credential": "PT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT0961",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1032357",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1032357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.