Individual provider Active NPI

Michael E Dean, DPT

  • Physical Therapist
  • Wimberley, TX
National Provider Identifier
1386377422
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3129426 Issued in TX
Practice address
14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019
Phone
(512) 847-3300
Fax
(512) 847-3314
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 3129426 TX Primary

Addresses

Primary practice location

14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019

Mailing address

14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019
Phone (512) 847-3300

Other practice location 1

14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019

Other practice location 2

14100 Ranch Road 12 Ste 100
Wimberley, TX 78676

Other practice location 3

14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019

Other practice location 4

14100 Ranch Road 12 Ste 100
wimberley, TX 78676

Other identifiers 1

IdentifierTypeStateIssuer
1467750554OtherTXPHYSICAL THERAPY GROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michaeldean@ptofwimberley.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.84 of 100Reported as group
Quality
80.88
Improvement activities
40
Cost
68.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3129426TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1386377422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12 UNIT 100",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786760019",
            "telephone_number": "512-847-3300",
            "fax_number": "512-847-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12 UNIT 100",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786760019",
            "telephone_number": "512-847-3300",
            "fax_number": "512-847-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 Ranch Road 12 Unit 100",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "786760019",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14100 Ranch Road 12 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "78676",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14100 Ranch Road 12 Unit 100",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "786760019",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14100 Ranch Road 12 Ste 100",
            "address_purpose": "LOCATION",
            "city": "wimberley",
            "state": "TX",
            "postal_code": "78676",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3129426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY GROUP NPI",
            "identifier": "1467750554",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaeldean@ptofwimberley.com",
            "affiliation": "N",
            "address_1": "14100 Ranch Road 12 Unit 100",
            "city": "Wimberley",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786760019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wimberley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.

Verify at the official NPI Registry.