Individual provider Active NPI

Jaleel Anjelo Leyco Cuasay

  • Physical Therapist
  • Burleson, TX
National Provider Identifier
1710720719
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1391711 Issued in TX
Practice address
437 SW Wilshire Blvd Ste B
Burleson, TX 76028-5300
Phone
(817) 904-5070
Fax
(817) 916-0879
NPI assigned
Jun 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 1391711 TX Primary

Addresses

Primary practice location

437 SW Wilshire Blvd Ste B
Burleson, TX 76028-5300

Mailing address

437 SW Wilshire Blvd Ste B
Burleson, TX 76028-5300
Phone (817) 904-5070

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Pepper Physical Therapy LLC Physical Therapist CurrentSince Jun 18, 2024 Accepting new patients

Locations

437 SW Wilshire Blvd
Ste B
Burleson, TX 76028
Phone (817) 904-5070

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1710720719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 SW WILSHIRE BLVD STE B",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285300",
            "telephone_number": "817-904-5070",
            "fax_number": "817-916-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 SW WILSHIRE BLVD STE B",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285300",
            "telephone_number": "817-904-5070",
            "fax_number": "817-916-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUASAY",
        "first_name": "JALEEL ANJELO",
        "middle_name": "LEYCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1391711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.