Organization Active NPI

Salto Angel LLC

  • Physical Therapist
  • Spring, TX
National Provider Identifier
1538948138
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SALTO ANGEL LLC
Doing business as
FYZICAL Therapy & Balance Centers
Practice address
6620 Cypresswood Dr Ste 180
Spring, TX 77379-7748
Phone
(281) 203-9491
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Miguel Avila
Title
Manager
Phone
(281) 203-9491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6620 Cypresswood Dr Ste 180
Spring, TX 77379-7748

Mailing address

7206 Crossvine Manor TRL
Katy, TX 77493-4347
Phone (281) 203-9491

Other names 1

  • FYZICAL Therapy & Balance Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105003529 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193176949 Receives reassigned benefits from 4 practitioners
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

6620 Cypresswood Dr
Ste 180
Spring, TX 77379
Phone (346) 340-7772

6620 Cypresswood Dr
Spring, TX 77379
Phone (281) 477-8660

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1538948138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 CROSSVINE MANOR TRL",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774934347",
            "telephone_number": "281-203-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 CYPRESSWOOD DR STE 180",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797748",
            "telephone_number": "281-203-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALTO ANGEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-203-9491"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.