Active NPI
Armando David Villarreal, PT, DPT
- Orthopedic Physical Therapist
- Roanoke, TX
National Provider Identifier
1740806553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1330963
- Practice address
- 409 N Oak St Ste 220
Roanoke, TX 76262-6105 - Phone
- (682) 502-4440
- NPI assigned
- Jun 18, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1330963 | TX | Primary |
Addresses
Primary practice location
409 N Oak St Ste 220
Roanoke, TX 76262-6105
Mailing address
409 N Oak Street Suite 220
Fort Worth, TX 76244-9465
Phone (682) 502-4440
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1740806553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N OAK STREET SUITE 220",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762449465",
"telephone_number": "682-502-4440",
"fax_number": "682-502-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 N OAK ST STE 220",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762626105",
"telephone_number": "682-502-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "ARMANDO",
"middle_name": "DAVID",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-18",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1330963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.