Individual provider Active NPI

Anthony Sam Michels, DPT

  • Physical Therapist
  • Flower Mound, TX
National Provider Identifier
1124096466
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1116259 Issued in TX
Practice address
4401 Long Prairie Rd
Ste 300
Flower Mound, TX 75028-1794
Phone
(972) 691-1331
Fax
(972) 691-1731
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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 1116259 TX Primary

Addresses

Primary practice location

4401 Long Prairie Rd
Ste 300
Flower Mound, TX 75028-1794

Mailing address

4401 Long Prairie Rd
Ste 300
Flower Mound, TX 75028-1794
Phone (972) 691-1331

Other identifiers 1

IdentifierTypeStateIssuer
83594TOtherTXBCBS

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
1116259TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coppell Spine & Sports Rehab Limited Partnership Past Accepting new patients
Anthony B. Michaels, D.O., P.C. PastSince Dec 29, 2005 Accepting new patients
Achieve Physical Therapy and Performance Limited Partnership Physical Therapist 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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1124096466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 LONG PRAIRIE RD",
            "address_2": "STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281794",
            "telephone_number": "972-691-1331",
            "fax_number": "972-691-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 LONG PRAIRIE RD",
            "address_2": "STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281794",
            "telephone_number": "972-691-1331",
            "fax_number": "972-691-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "ANTHONY",
        "middle_name": "SAM",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1116259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83594T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.