Individual provider Active NPI

Michael Jason Robinson, PT,DPT,CSCS

  • Physical Therapist
  • Mansfield, TX
National Provider Identifier
1265535587
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-014659 Issued in IL
Practice address
1748 E Broad St Ste 120
Mansfield, TX 76063-3400
Phone
(817) 477-4567
Fax
(817) 477-4591
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTL22686 MA
Physical Therapist 225100000X 070-014659 IL Primary

Addresses

Primary practice location

1748 E Broad St Ste 120
Mansfield, TX 76063-3400

Mailing address

1748 E Broad St Ste 120
Mansfield, TX 76063-3400
Phone (817) 477-4567

Other identifiers 1

IdentifierTypeStateIssuer
P00249518OtherILRAILROAD MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200309000570 MA Practitioner - Physical Therapist in Private Practice 8628090552 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-014659ILMDPhysical Therapist
PTL22686MAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DG Physical Therapy PC CurrentSince Jan 5, 2020 Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 1, 2024 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Jan 5, 2020 Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 1, 2024 Accepting new patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients
Sports Physical Therapy & Rehab Specialists, S.C. Physical Therapist Past Accepting new patients
Sports Physical Therapy & Rehabilitation Specialists S.C. Physical Therapist Past Accepting new patients

Locations

4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460

860 Route 134
Ste 5
South Dennis, MA 02660
Phone (508) 385-4212

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1265535587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 E BROAD ST STE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633400",
            "telephone_number": "817-477-4567",
            "fax_number": "817-477-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 E BROAD ST STE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633400",
            "telephone_number": "817-477-4567",
            "fax_number": "817-477-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MICHAEL",
        "middle_name": "JASON",
        "credential": "PT,DPT,CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "PTL22686",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-014659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00249518",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.