Active NPI
Ray Dumlao Johns, PT, MSHSA, DPT
- Physical Therapist
- Gardendale, TX
National Provider Identifier
1245499862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1065308
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1065308 | TX | MD | Physical 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.