Individual provider Active NPI

Michael Veresh, PT, DPT, OMPT

  • Orthopedic Physical Therapist
  • Brownsville, TX
National Provider Identifier
1104000264
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1205293 Issued in TX
Practice address
864 Central Blvd
Ste 3200
Brownsville, TX 78520-7551
Phone
(956) 542-2845
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1205293 TX Primary
Physical Therapist 225100000X 5501013568 MI

Addresses

Primary practice location

864 Central Blvd
Ste 3200
Brownsville, TX 78520-7551

Mailing address

1327 E Washington Ave
Pmb132
Harlingen, TX 78550-5684
Phone (956) 428-5440

Other identifiers 1

IdentifierTypeStateIssuer
1528096963OtherNPI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501013568MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehabilitation Services Inc Physical Therapist PastSince Feb 9, 2004 Accepting new patients
Connected Health PLLC PastSince Mar 1, 2023 Accepting new patients
Lansing Orthopedic PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1104000264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E WASHINGTON AVE",
            "address_2": "PMB132",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785505684",
            "telephone_number": "956-428-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD",
            "address_2": "STE 3200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207551",
            "telephone_number": "956-542-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERESH",
        "first_name": "MICHAEL",
        "credential": "PT, DPT, OMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1205293",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528096963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.