Active NPI
Giuseppe Sposito, DPT
- Physical Therapist
- Southlake, TX
National Provider Identifier
1205487923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1341590
- Practice address
- 731 E Southlake Blvd Ste 150
Southlake, TX 76092-6380 - Phone
- (817) 442-8600
- Fax
- (817) 442-8603
- NPI assigned
- Sep 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1341590 | TX | Primary |
Addresses
Primary practice location
731 E Southlake Blvd Ste 150
Southlake, TX 76092-6380
Mailing address
PO Box 2650
Coppell, TX 75019-8607
Phone (972) 724-2400
Other practice location 1
144 County Highway 14
Winfield, AL 35594-5570
Phone (205) 487-4211
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1341590 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1205487923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2650",
"city": "COPPELL",
"state": "TX",
"postal_code": "750198607",
"telephone_number": "972-724-2400",
"fax_number": "972-724-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 E SOUTHLAKE BLVD STE 150",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926380",
"telephone_number": "817-442-8600",
"fax_number": "817-442-8603"
}
],
"practiceLocations": [
{
"address_1": "144 County Highway 14",
"address_purpose": "LOCATION",
"city": "Winfield",
"state": "AL",
"postal_code": "355945570",
"country_code": "US",
"telephone_number": "205-487-4211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPOSITO",
"first_name": "GIUSEPPE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-24",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1341590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.