Active NPI
Raymond Crisostomo Bartolome, DPT
- Physical Therapist
- Midland, TX
National Provider Identifier
1265259501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1231510
- Practice address
- 801 S Loop 250 W
Midland, TX 79703-2134 - Phone
- (432) 689-2100
- NPI assigned
- Sep 25, 2024
- 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 | 1231510 | TX | Primary |
Addresses
Primary practice location
801 S Loop 250 W
Midland, TX 79703-2134
Mailing address
6104 Barton Springs CT
Midland, TX 79707-2180
Phone (915) 929-2339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1231510 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1265259501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6104 BARTON SPRINGS CT",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797072180",
"telephone_number": "915-929-2339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S LOOP 250 W",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797032134",
"telephone_number": "432-689-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOLOME",
"first_name": "RAYMOND",
"middle_name": "CRISOSTOMO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1231510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.