Michael Sandoval, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1382125 Issued in TX

Practice address

160 W Magnolia Ave Ste 2
Fort Worth, TX 76104-7613

Phone

(817) 335-7946

Fax

(817) 335-7947

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads Physical Therapy Limited PartnershipGroup PAC ID 1052229846, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Crossroads Physical Therapy Limited Partnership

  dba Green Oaks Physical Therapy

  • Physical Therapist
  • Dallas, TX
  • NPI 1558306399
  Medicare reassignment Care Compare group NPD
• Crossroads Physical Therapy Limited Partnership

  dba Green Oaks Physical Therapy

  • Physical Therapist
  • Burleson, TX
  • NPI 1083923916
  NPD
• Crossroads Physical Therapy Limited Partnership

  dba Green Oaks PT - Ft. Worth

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1124065578
  NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1275316911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W MAGNOLIA AVE STE 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047613",
            "telephone_number": "817-335-7946",
            "fax_number": "817-335-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W MAGNOLIA AVE STE 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047613",
            "telephone_number": "817-335-7946",
            "fax_number": "817-335-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1382125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandman Sleep Services LLC (Sandman Medical)
• Jose Sandoval Ramirez, PT, DPT
• Giselle Adriana Sandoval
• Luar Sandoval, PA-C
• Margarita Sandoval, PA-C
• Raul Sandoval Jr., CRNA
• Virginia I Sandoval
• Willie Sandoval, LPC
• Sandra Davis MD, PA
• Linda Lorena Sands

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.