Michael Angelo Carillo Duenas, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1214160 Issued in TX

Practice address

590 Medical Center Rd
Fort Cavazos, TX 76544

Phone

(254) 553-6230

NPI assigned

Feb 4, 2012

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

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  • NPI 1669536645
  NPD (past)

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

{
    "created_epoch": "1328313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1154693265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 ROSSON ST",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765594788",
            "telephone_number": "954-778-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER RD",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-553-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENAS",
        "first_name": "MICHAEL ANGELO",
        "middle_name": "CARILLO",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-04",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1214160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaakiyah Denefield-Davis
• Willie Renard Devereaux, SOCIAL WORKER
• Manuel Antonio Diaz Rosado
• Chris Dire
• Linda A Dixon-Victor, MSN, FNP-BC, BSN, RN
• Bria Margaret Lashae Dukes, LCSW
• Shannen Lynn Dumond, RN, MSN, CPNP
• Dallin Lyman Duncan, DDS
• James Dungca, M.D.
• Toritsetimiyin Marian E-Nunu, M.D., MPH

• Physical Therapist in Fort Cavazos, TX
• Providers in Fort Cavazos, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.