Individual provider Active NPI

Michael Charles Gayle, PT, MA, OCS

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1689679110
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1070423 Issued in TX
Practice address
1103 Cypress Creek Rd
Ste 103
Cedar Park, TX 78613-3924
Phone
(512) 918-0044
Fax
(512) 918-0045
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1070423 TX Primary

Addresses

Primary practice location

1103 Cypress Creek Rd
Ste 103
Cedar Park, TX 78613-3924

Mailing address

1103 Cypress Creek Rd
Ste 103
Cedar Park, TX 78613-3924
Phone (512) 918-0044

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1689679110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD",
            "address_2": "STE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133924",
            "telephone_number": "512-918-0044",
            "fax_number": "512-918-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD",
            "address_2": "STE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133924",
            "telephone_number": "512-918-0044",
            "fax_number": "512-918-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "PT, MA, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1070423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.