Individual provider Active NPI

Michael James Drost, PTA

  • Physical Therapy Assistant
  • Austin, TX
National Provider Identifier
1447731583
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2037356 Issued in TX
Practice address
11127 Circle Dr
Austin, TX 78736-7767
Phone
(512) 288-8844
NPI assigned
Aug 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2037356 TX Primary

Addresses

Primary practice location

11127 Circle Dr
Austin, TX 78736-7767

Mailing address

11127 Circle Dr
Austin, TX 78736-7767
Phone (512) 288-8844

Other identifiers 1

IdentifierTypeStateIssuer
2037356OtherTXTX BOARD OF PHYSICAL THERAPY EXAMINERS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2037356TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1447731583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11127 CIRCLE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787367767",
            "telephone_number": "512-288-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11127 CIRCLE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787367767",
            "telephone_number": "512-288-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROST",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2037356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "2037356",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.