Active NPI
Jose Angel Vazquez, PT
- Physical Therapist
- Mansfield, TX
National Provider Identifier
1447407176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1167330
- Practice address
- 309 Regency Pkwy
Suite 205
Mansfield, TX 76063-5165 - Phone
- (682) 351-1665
- NPI assigned
- Aug 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1167330 | TX | Primary |
Addresses
Primary practice location
309 Regency Pkwy
Suite 205
Mansfield, TX 76063-5165
Mailing address
309 Regency Parkway
Suite 205
Mansfield, TX 76063
Phone (682) 351-1665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1006 Legacy Ranch Rd
Suite 104
Waxahachie, TX 75165-1293
Phone (817) 526-4604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eclipse Clinic PLLC | Current | Accepting new patients | |
| Clinton Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
| Therapy Center Inc | Physical Therapist | Past | Accepting new patients |
| Clinton Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
Locations
1006 Legacy Ranch Rd
Ste 104
Waxahachie, TX 75165
Phone (817) 526-4604
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHCCDD
- https://api.platform.athenahealth.com/22507/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Waxahachie, TX
- NPI 1710551585
-
- Physical Therapist
- Clinton, TN
- NPI 1578644894
-
- Hand Occupational Therapist
- Clinton, TN
- NPI 1669670030
Physical Therapist
-
- Physical Therapist
- Knoxville, TN
- NPI 1336199033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249689600000",
"number": "1447407176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 REGENCY PARKWAY",
"address_2": "SUITE 205",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "76063",
"telephone_number": "682-351-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 REGENCY PKWY",
"address_2": "SUITE 205",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635165",
"telephone_number": "682-351-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "JOSE",
"middle_name": "ANGEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-25",
"last_updated": "2009-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1167330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2009; 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.