Individual provider Active NPI

Michael Keresztes, P.T

  • Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1093806820
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1173313 Issued in TX
Practice address
1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130-6045
Phone
(830) 358-1151
Fax
(830) 626-3422
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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 1173313 TX Primary

Addresses

Primary practice location

1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130-6045

Mailing address

1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130-6045
Phone (830) 358-1151

Other identifiers 2

IdentifierTypeStateIssuer
200397770MedicaidIN
000000178956OtherINANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000816 TX Practitioner - Physical Therapist in Private Practice 0840391157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mint Physical Therapy LLCGroup PAC ID 7618250952, 11 clinicians

Practice addresses (Care Compare)

1551 N Walnut Ave
Suite 47
New Braunfels, TX 78130-6045
Phone (830) 358-1151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1173313TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mint Physical Therapy, LLC Physical Therapist CurrentSince Jan 25, 2017 Accepting new patients

Locations

1551 N Walnut Ave
#47
New Braunfels, TX 78130
Phone (830) 358-1151

1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130
Phone (830) 358-1151

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1093806820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 N WALNUT AVE",
            "address_2": "STE 47",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306045",
            "telephone_number": "830-358-1151",
            "fax_number": "830-626-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 N WALNUT AVE",
            "address_2": "STE 47",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306045",
            "telephone_number": "830-358-1151",
            "fax_number": "830-626-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERESZTES",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1173313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200397770",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000178956",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.