Active NPI
Michael Lavaughn Nash, PT, MSPT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1508425554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3123570
- Practice address
- 11919 Culebra Road
BLDG. 1, Suite 101
San Antonio, TX 78253 - Phone
- (210) 828-7757
- Fax
- (210) 828-7756
- NPI assigned
- Jun 12, 2019
- 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 | 3123570 | TX | Primary |
Addresses
Primary practice location
11919 Culebra Road
BLDG. 1, Suite 101
San Antonio, TX 78253
Mailing address
11919 Culebra Road
BLDG. 1, Suite 101
San Antonio, TX 78253
Phone (210) 828-7557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 18.23 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 60.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3123570 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stratton Hogan Clinics, Inc. | Physical Therapist | Current | Accepting new patients |
| Stratton Hogan Clinics Inc | Physical Therapist | Current | Accepting new patients |
Locations
11919 Culebra Rd
Ste 101
San Antonio, TX 78253
Phone (210) 387-5826
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- San Antonio, TX
- NPI 1841662152
Physical Therapist
-
- Physical Therapy Clinic/Center
- San Antonio, TX
- NPI 1417689555
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1508425554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11919 CULEBRA ROAD",
"address_2": "BLDG. 1, SUITE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78253",
"telephone_number": "210-828-7557",
"fax_number": "210-828-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11919 CULEBRA ROAD",
"address_2": "BLDG. 1, SUITE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78253",
"telephone_number": "210-828-7757",
"fax_number": "210-828-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "MICHAEL",
"middle_name": "LAVAUGHN",
"credential": "PT, MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-12",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3123570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.