Individual provider Active NPI

Joseph Anthony Cabrera, DPT

  • Physical Therapist
  • Richardson, TX
National Provider Identifier
1780416495
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1390246 Issued in TX
Practice address
1761 International Pkwy Ste 135
Richardson, TX 75081-1864
Phone
(972) 845-7875
NPI assigned
Aug 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 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 1390246 TX Primary

Addresses

Primary practice location

1761 International Pkwy Ste 135
Richardson, TX 75081-1864

Mailing address

40 Ranch House Loop
Angleton, TX 77515-2723
Phone (979) 215-3594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001001954 TX Practitioner - Physical Therapist in Private Practice 7012448178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One RehabGroup PAC ID 7618208752, 23 clinicians
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Practice addresses (Care Compare)

1761 International Pkwy
Suite 135
Richardson, TX 75081-1864
Phone (972) 845-7875

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1390246TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Rehab Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients

Locations

6080 N Central Expy
Dallas, TX 75206
Phone (469) 646-0366

1761 International Pkwy
Ste 135
Richardson, TX 75081
Phone (972) 757-8684

Organizations & group practices 2

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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1780416495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RANCH HOUSE LOOP",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775152723",
            "telephone_number": "979-215-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 INTERNATIONAL PKWY STE 135",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811864",
            "telephone_number": "972-845-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1390246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.