Active NPI
Michael Bedolla, PT
- Physical Therapist
- Harlingen, TX
National Provider Identifier
1508942335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1170270
- Practice address
- 729 N 77 Sunshine Strip
Harlingen, TX 78550-8847 - Phone
- (956) 421-4667
- Fax
- (956) 421-2016
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1170270 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Success | Physical Therapist | Past | Accepting new patients |
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 | 1170270 | TX | Primary |
Addresses
Primary practice location
729 N 77 Sunshine Strip
Harlingen, TX 78550-8847
Mailing address
505 E Wood Ave
Raymondville, TX 78580-3161
Phone (956) 689-6601
NPI Registry JSON
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508942335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E WOOD AVE",
"city": "RAYMONDVILLE",
"state": "TX",
"postal_code": "785803161",
"telephone_number": "956-689-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 N 77 SUNSHINE STRIP",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508847",
"telephone_number": "956-421-4667",
"fax_number": "956-421-2016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDOLLA",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1170270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.