Active NPI
David Middaugh Jr., DPT
- Orthopedic Physical Therapist
- El Paso, TX
National Provider Identifier
1245518372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1207709
- Practice address
- 4758 Loma del Sur Dr
Suite a
El Paso, TX 79934-3597 - Phone
- (915) 755-0738
- Fax
- (915) 755-6941
- NPI assigned
- Jul 22, 2011
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1207709 | TX | Primary |
Addresses
Primary practice location
4758 Loma del Sur Dr
Suite a
El Paso, TX 79934-3597
Mailing address
4758 Loma del Sur Dr
Suite a
El Paso, TX 79934-3597
Phone (915) 755-0738
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, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2601 E Yandell Dr
Suite 232
El Paso, TX 79903-3724
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Manual Physical Therapy PLLC | Orthopedic | Current | Accepting new patients |
| Austin Manual Therapy Associates, PC | Orthopedic | Past | Accepting new patients |
Locations
2601 E Yandell Dr
Ste 232
El Paso, TX 79903
Phone (915) 503-1314
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Austin, TX
- NPI 1154368959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1245518372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4758 LOMA DEL SUR DR",
"address_2": "SUITE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799343597",
"telephone_number": "915-755-0738",
"fax_number": "915-755-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4758 LOMA DEL SUR DR",
"address_2": "SUITE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799343597",
"telephone_number": "915-755-0738",
"fax_number": "915-755-6941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDAUGH",
"first_name": "DAVID",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-22",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1207709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.