Individual provider Active NPI

Michelle L Valencia, PT

  • Physical Therapist
  • Flower Mound, TX
National Provider Identifier
1447329206
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1134997 Issued in TX
Practice address
4951 Long Prairie Rd
Ste. 110
Flower Mound, TX 75028-2707
Phone
(972) 410-5777
Fax
(972) 410-5778
NPI assigned
Nov 7, 2006
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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 1134997 TX Primary

Addresses

Primary practice location

4951 Long Prairie Rd
Ste. 110
Flower Mound, TX 75028-2707

Mailing address

4951 Long Prairie Rd
Ste. 110
Flower Mound, TX 75028-2707
Phone (972) 410-5777

Other identifiers 1

IdentifierTypeStateIssuer
8T6840OtherTXBCBS TX

Other names 1

  • Michelle L Meyers Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000754 TX Practitioner - Physical Therapist in Private Practice 0042203010 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Star Orthopedics and Sports Medicine PLLC CurrentSince Oct 14, 2020 Accepting new patients
Star Orthopedics and Sports Medicine PLLC CurrentSince Oct 14, 2020 Accepting new patients
Active Rehabilitation Inc Physical Therapist Past Accepting new patients
Active Rehabilitation,Inc. Physical Therapist Past Accepting new patients
Rehabilitation Services of St Croix Physical Therapist Past Accepting new patients
Metrocrest Orthopaedics & Sports Medicine Past Accepting new patients
Methodist McKinney Hospital LLC Past Accepting new patients

Locations

5550 Warren Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 850-0680

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, 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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1447329206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 LONG PRAIRIE RD",
            "address_2": "STE. 110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282707",
            "telephone_number": "972-410-5777",
            "fax_number": "972-410-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 LONG PRAIRIE RD",
            "address_2": "STE. 110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282707",
            "telephone_number": "972-410-5777",
            "fax_number": "972-410-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1134997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8T6840",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MEYERS",
            "middle_name": "L",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.