Individual provider Active NPI

Mychael Ray Ramirez, PT

  • Physical Therapist
  • Grand Prairie, TX
National Provider Identifier
1134476401
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1218819 Issued in TX
Practice address
3824 S Carrier Pkwy
Suite 470
Grand Prairie, TX 75052-6644
Phone
(972) 262-9972
Fax
(972) 262-9986
NPI assigned
Aug 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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 1218819 TX Primary

Addresses

Primary practice location

3824 S Carrier Pkwy
Suite 470
Grand Prairie, TX 75052-6644

Mailing address

2625 N State Highway 360
1237
Grand Prairie, TX 75050-7871
Phone (956) 342-5392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220511000344 TX Practitioner - Physical Therapist in Private Practice 9739566837 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Current Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist CurrentSince May 2, 2022 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist CurrentSince May 2, 2022 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Locations

520 Fielder North Plz
Arlington, TX 76012
Phone (817) 461-4257

1320 Airport Fwy
Ste A
Bedford, TX 76022
Phone (817) 858-0390

350 Mercedes St
Benbrook, TX 76126
Phone (817) 717-5390

458 N Highway 67
Ste 100
Cedar Hill, TX 75104
Phone (469) 272-3129

3824 S Carrier Pkwy
Ste 490
Grand Prairie, TX 75052
Phone (972) 262-9972

3824 S Carrier Pkwy
Ste 470
Grand Prairie, TX 75052
Phone (972) 262-9972

1540 N Highway 77
Unit C8
Waxahachie, TX 75165

Organizations & group practices 5

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1134476401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N STATE HIGHWAY 360",
            "address_2": "1237",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750507871",
            "telephone_number": "956-342-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S CARRIER PKWY",
            "address_2": "SUITE 470",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526644",
            "telephone_number": "972-262-9972",
            "fax_number": "972-262-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MYCHAEL",
        "middle_name": "RAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1218819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.