Michael John Doster Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2145955 Issued in TX

Practice address

14302 Nemo CT
Corpus Christi, TX 78418-6238

Phone

(361) 949-9898

Fax

(361) 949-9897

NPI assigned

Mar 29, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New Stride Physical Therapy & Rehabilitation

  • Physical Therapist
  • Corpus Christi, TX
  • NPI 1366404394
  NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1639756109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14302 NEMO CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186238",
            "telephone_number": "361-949-9898",
            "fax_number": "361-949-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14302 NEMO CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186238",
            "telephone_number": "361-949-9898",
            "fax_number": "361-949-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSTER",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2145955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.