Michael Frederick Angelo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11094 Issued in AZ

Practice address

10390 N la Canada Dr Ste 110
Oro Valley, AZ 85737-7273

Phone

(520) 420-2110

NPI assigned

Aug 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Medical Network 276 clinicians

Simons Physical Therapy P C 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Simons Physical Therapy P C

  • Physical Therapist
  • Tucson, AZ
  • NPI 1225144736

  AZ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283

  AZ

  Medicare reassignment Care Compare group NPD
• Ton San Xavier Health Center

  • Federal Public Health Clinic/Center
  • Tucson, AZ
  • NPI 1437157302

  TX

  Medicare reassignment NPD
• Ton Sells Hospital

  • Public Health or Welfare Agency
  • Sells, AZ
  • NPI 1487652426

  TX

  Medicare reassignment NPD
• Ton San Xavier Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Tucson, AZ
  • NPI 1518905793
  NPD (past)
• Ton Sells Hospital

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Sells, AZ
  • NPI 1699717785
  NPD (past)

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1124437520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 N LA CANADA DR STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857377273",
            "telephone_number": "205-420-2110",
            "fax_number": "520-420-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 N LA CANADA DR STE 110",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377273",
            "telephone_number": "520-420-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 W White Mountain Blvd",
            "address_2": "Ste. A",
            "address_purpose": "LOCATION",
            "city": "Lakeside",
            "state": "AZ",
            "postal_code": "859297013",
            "country_code": "US",
            "telephone_number": "928-367-5777",
            "fax_number": "928-367-5778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "MICHAEL",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ans Testing and Services of Arizona
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• Cindy Arenas Nieves, LMFT
• Arizona Blood and Cancer Specialists, PLLC
• Arizona Community Surgeons PC

• All providers in Oro Valley, AZ
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.