Individual provider Active NPI

Joshua Aaron Bishop, P.T.

  • Physical Therapist
  • Odessa, TX
National Provider Identifier
1689850257
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3105099 Issued in TX
Practice address
2525 N Grandview Ave Ste 400
Odessa, TX 79761-1621
Phone
(432) 550-4700
Fax
(432) 550-4715
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 3105099 TX Primary

Addresses

Primary practice location

2525 N Grandview Ave Ste 400
Odessa, TX 79761-1621

Mailing address

2525 N Grandview Ave Ste 400
Odessa, TX 79761-1621
Phone (432) 550-4700

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

LicenseStateTypeSpecialty
3105099TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1689850257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N GRANDVIEW AVE STE 400",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611621",
            "telephone_number": "432-550-4700",
            "fax_number": "432-550-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N GRANDVIEW AVE STE 400",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611621",
            "telephone_number": "432-550-4700",
            "fax_number": "432-550-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3105099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.