Active NPI
Michael Bart McKaskle, PT
- Physical Therapist
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1133445
- Practice address
- 2431 S Loop 289
Lubbock, TX 79423-1519 - Phone
- (806) 771-8008
- Fax
- (806) 771-8009
- NPI assigned
- Jun 13, 2005
- 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 | PT1133445 | TX | Primary |
Addresses
Primary practice location
2431 S Loop 289
Lubbock, TX 79423-1519
Mailing address
2431 S Loop 289
Lubbock, TX 79423-1519
Phone (806) 771-8008
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219904402 | Medicaid | TX | |
| 8T1365 | Other | TX | BLUE CROSS BLUE SHIELD |
| 219904401 | Medicaid | TX | |
| 141193101 | Other | TX | FIRSTCARE |
| P00169854 | Other | TX | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
703 Hill Country Dr
Suite 202
Kerrville, TX 78028-6161
Phone (930) 896-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1133445 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| St Davids Heart & Vascular, PLLC | Past | Accepting new patients | |
| Revive Physical Therapy Inc | Past | Accepting new patients |
Locations
111 Blanco Ave
Ste E
Blanco, TX 78606
1316 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 798-3497
703 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 896-4545
443 Ranch Road 1431
Kingsland, TX 78639
Phone (325) 388-2969
113 W Young St
Llano, TX 78643
Phone (830) 798-2082
1004 Marble Heights Dr
#B
Marble Falls, TX 78654
Phone (830) 798-3497
21122 State Highway 71 W
Unit B
Spicewood, TX 78669
Phone (512) 264-9981
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Fredericksburg, TX
- NPI 1255342093
Physical Therapist
-
- Physical Therapy Clinic/Center
- Spicewood, TX
- NPI 1942205679
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1700887700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1225032600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 S LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231519",
"telephone_number": "806-771-8008",
"fax_number": "806-771-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 S LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231519",
"telephone_number": "806-771-8008",
"fax_number": "806-771-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKASKLE",
"first_name": "MICHAEL",
"middle_name": "BART",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "PT1133445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219904402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8T1365",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219904401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "141193101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00169854",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.