Individual provider Active NPI

Michael Curtin, DPT,MS, OCS, FAAOMPT

  • Physical Therapist
  • Jbsa Randolph, TX
National Provider Identifier
1801877477
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1136695 Issued in TX
Practice address
359 Medical Group
221 Third Street West
Jbsa-Randolph, TX 78150
Phone
(850) 883-8314
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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 1136695 TX Primary

Addresses

Primary practice location

359 Medical Group
221 Third Street West
Jbsa-Randolph, TX 78150

Mailing address

359 Medical Group
221 Third Street West
Jbsa-Randolph, TX 78150
Phone (210) 808-5940

Other names 1

  • Dr. Mike NA NA Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730000614 TX Practitioner - Physical Therapist in Private Practice 0244633063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Physical Therapy IncGroup PAC ID 4183670441, 16 clinicians

Practice addresses (Care Compare)

1004 Marble Heights Dr
B
Marble Falls, TX 78654-4543
Phone (830) 798-3497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Physical Therapy Inc Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Revive Physical Therapy Inc Past Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients

Locations

1316 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 798-3497

113 W Young St
Llano, TX 78643
Phone (830) 798-2082

102 E Young St
Llano, TX 78643
Phone (325) 247-3138

1004 Marble Heights Dr
#B
Marble Falls, TX 78654
Phone (830) 798-3497

21122 State Highway 71 W
Unit B
Spicewood, TX 78669
Phone (512) 264-9981

Organizations & group practices 3

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1801877477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 MEDICAL GROUP",
            "address_2": "221 THIRD STREET WEST",
            "city": "JBSA-RANDOLPH",
            "state": "TX",
            "postal_code": "78150",
            "telephone_number": "210-808-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 MEDICAL GROUP",
            "address_2": "221 THIRD STREET WEST",
            "city": "JBSA-RANDOLPH",
            "state": "TX",
            "postal_code": "78150",
            "telephone_number": "850-883-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIN",
        "first_name": "MICHAEL",
        "credential": "DPT,MS, OCS, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1136695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "NA",
            "middle_name": "NA",
            "prefix": "DR.",
            "credential": "DPT,MS, OCS, FAAOMPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jbsa Randolph, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.