Active NPI
Noel Flores, PHYSICAL THERAPIST
- Physical Therapist
- Anson, TX
National Provider Identifier
1073635207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1138600
- Practice address
- 3548 FM 707
Anson, TX 79501-4808 - Phone
- (325) 370-3792
- NPI assigned
- Apr 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1138600 | TX | Primary |
Addresses
Primary practice location
3548 FM 707
Anson, TX 79501-4808
Mailing address
3548 FM 707
Anson, TX 79501-4808
Phone (325) 370-3792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1138600 | Other | TX | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1138600 | TX | MD | Physical Therapist |
Interoperability endpoints
- noel.flores.1@14590.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073635207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3548 FM 707",
"city": "ANSON",
"state": "TX",
"postal_code": "795014808",
"telephone_number": "325-370-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3548 FM 707",
"city": "ANSON",
"state": "TX",
"postal_code": "795014808",
"telephone_number": "325-370-3792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "NOEL",
"name_prefix": "Dr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1138600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "1138600",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.