Individual provider Active NPI

Angelo James Angeles Misajon, DPT

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1295482263
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1275159 Issued in TX
Practice address
2221 Avenue J
Arlington, TX 76006-5867
Phone
(817) 633-3152
NPI assigned
Mar 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1275159 TX Primary

Addresses

Primary practice location

2221 Avenue J
Arlington, TX 76006-5867

Mailing address

1580 Sawgrass Corporate Pkwy Ste 200
Sunrise, FL 33323-2869
Phone (800) 886-8108

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1275159TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 23, 2023 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 23, 2023 Accepting new patients
Abundant Home Health, LLC CurrentSince Mar 13, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2805 Old Post Rd
Ste 110
Harrisburg, PA 17110
Phone (717) 635-2030

5000 Commons Dr
Harrisburg, PA 17112
Phone (717) 234-9622

2221 Avenue J
Arlington, TX 76006
Phone (817) 633-3152

Organizations & group practices 3

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1295482263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SAWGRASS CORPORATE PKWY STE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232869",
            "telephone_number": "800-886-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 AVENUE J",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760065867",
            "telephone_number": "817-633-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISAJON",
        "first_name": "ANGELO JAMES",
        "middle_name": "ANGELES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1275159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.