Michael Tanner Pape, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1342585 Issued in TX

Practice address

1725 Hickory St
Abilene, TX 79601-2972

Phone

(325) 439-5670

NPI assigned

Feb 9, 2021

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1215529482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012972",
            "telephone_number": "325-439-5670",
            "fax_number": "325-437-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012972",
            "telephone_number": "325-439-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPE",
        "first_name": "MICHAEL",
        "middle_name": "TANNER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1342585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "1342585",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1342585",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Abilene",
            "affiliation": "N",
            "address_1": "4601 Hartford St",
            "city": "Abilene",
            "state": "TX",
            "country_code": "US",
            "postal_code": "796054603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pal Mansions, LLC
• Luke Palmer, PT, DPT
• Palo Pinto County Hospital District
• Armando Adrian Palos, PA-C, ATC
• Ashley P Pape
• Kim L Parish, PT
• Albert Christopher Park, DDS
• Caroline Park, LPC
• Kyung Mook Park, DDS
• Clevis T. Parker Sr., MD

• Physical Therapist in Abilene, TX
• Providers in Abilene, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.