Individual provider Active NPI

Ray Dumlao Johns, PT, MSHSA, DPT

  • Physical Therapist
  • Gardendale, TX
National Provider Identifier
1245499862
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1065308 Issued in TX
Practice address
4600 E Hwy 158 #427
Gardendale, TX 79758
Phone
(126) 185-1805
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 1065308 TX Primary

Addresses

Primary practice location

4600 E Hwy 158 #427
Gardendale, TX 79758

Mailing address

531 W Court St # 1689
Seguin, TX 78155-5443
Phone (512) 618-5180

Other names 1

  • Ray Mangrobang Dumlao Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

531 W Court St
Unit 1689
Seguin, TX 78155-5443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1065308TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1245499862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W COURT ST # 1689",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555443",
            "telephone_number": "512-618-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E HWY 158 #427",
            "city": "GARDENDALE",
            "state": "TX",
            "postal_code": "79758",
            "telephone_number": "126-185-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "RAY",
        "middle_name": "DUMLAO",
        "credential": "PT, MSHSA, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1065308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "DUMLAO",
            "middle_name": "MANGROBANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gardendale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.