Individual provider Active NPI

Martin Eugene Lansangan, PT

  • Physical Therapist
  • The Woodlands, TX
National Provider Identifier
1386765568
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1116234 Issued in TX
Practice address
1120 Medical Plaza Dr Ste 180
Woodlands Professional Center
The Woodlands, TX 77380-3250
Phone
(281) 364-9041
NPI assigned
Apr 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1116234 TX Primary

Addresses

Primary practice location

1120 Medical Plaza Dr Ste 180
Woodlands Professional Center
The Woodlands, TX 77380-3250

Mailing address

135 Wimberly Way
Conroe, TX 77385-3438
Phone (936) 273-6112

Other identifiers 1

IdentifierTypeStateIssuer
8T0573OtherTXBCBS NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050624000672 TX Practitioner - Physical Therapist in Private Practice 1052356540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Neville and Associates PAGroup PAC ID 4688647498, 5 clinicians

Practice addresses (Care Compare)

1120 Medical Plaza Dr
Suite 180
Shenandoah, TX 77380-3250
Phone (281) 364-9041

Merit-based Incentive Payment System (MIPS)

Final score
94.68 of 100Reported as group
Quality
90.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Neville & Associates PA CurrentSince Dec 11, 2002 Accepting new patients

Locations

1120 Medical Plaza Dr
Ste 180
Shenandoah, TX 77380
Phone (281) 364-9041

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDBCD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386765568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WIMBERLY WAY",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773853438",
            "telephone_number": "936-273-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR STE 180",
            "address_2": "WOODLANDS PROFESSIONAL CENTER",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803250",
            "telephone_number": "281-364-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSANGAN",
        "first_name": "MARTIN",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1116234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "8T0573",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.