Individual provider Active NPI

Andrew Aaron Arriaga

  • Physical Therapist
  • Cedar Hill, TX
National Provider Identifier
1124571583
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1279320 Issued in TX
Practice address
638 Uptown Blvd
Ste 110
Cedar Hill, TX 75104-3538
Phone
(469) 272-3129
Fax
(469) 272-3145
NPI assigned
Aug 2, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 1279320 TX Primary

Addresses

Primary practice location

638 Uptown Blvd
Ste 110
Cedar Hill, TX 75104-3538

Mailing address

638 Uptown Blvd
Ste 110
Cedar Hill, TX 75104-3538
Phone (469) 272-3129

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
1279320TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Therapeutics Mission PLLC PastSince Jan 2, 2017 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Performance Therapeutics Weslaco PLLC PastSince Jan 2, 2017 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1124571583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 UPTOWN BLVD",
            "address_2": "STE 110",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043538",
            "telephone_number": "469-272-3129",
            "fax_number": "469-272-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 UPTOWN BLVD",
            "address_2": "STE 110",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043538",
            "telephone_number": "469-272-3129",
            "fax_number": "469-272-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIAGA",
        "first_name": "ANDREW",
        "middle_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1279320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.