Individual provider Active NPI

Guillermo Morales, PT

  • Orthopedic Physical Therapist
  • Arlington, TX
National Provider Identifier
1639189491
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1084028 Issued in TX
Practice address
2310 Interstate 20 W
Suite 204
Arlington, TX 76017-1677
Phone
(817) 466-7276
Fax
(817) 466-7286
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1084028 TX Primary
Orthopedic Physical Therapist 2251X0800X

Addresses

Primary practice location

2310 Interstate 20 W
Suite 204
Arlington, TX 76017-1677

Mailing address

2310 Interstate 20 W
Suite 204
Arlington, TX 76017-1677
Phone (817) 466-7276

Other identifiers 1

IdentifierTypeStateIssuer
8T4086OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330001250 TX Practitioner - Physical Therapist in Private Practice 7315994506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Physical Therapy PCGroup PAC ID 2668428681, 5 clinicians

Practice addresses (Care Compare)

2310 W I
20 Suite 204
Arlington, TX 76017-1678
Phone 81746672765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1639189491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 INTERSTATE 20 W",
            "address_2": "SUITE 204",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171677",
            "telephone_number": "817-466-7276",
            "fax_number": "817-466-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 INTERSTATE 20 W",
            "address_2": "SUITE 204",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171677",
            "telephone_number": "817-466-7276",
            "fax_number": "817-466-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "GUILLERMO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1084028",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T4086",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.

Verify at the official NPI Registry.