Miguel Carlos Cruz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1219008 Issued in TX

Practice address

1003 Lindsey LN
Lufkin, TX 75904-5674

Phone

(936) 240-4530

NPI assigned

Feb 10, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Georgetown, TX
  • NPI 1952531154
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1811589930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 LINDSEY LN",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045674",
            "telephone_number": "936-240-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 LINDSEY LN",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045674",
            "telephone_number": "936-240-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MIGUEL",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1219008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECPTOTE PHYSICAL THERAPY LICENSCE",
            "identifier": "1219008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lee Cozadd, LPC M.ED.
• Matthew Craven
• Rebecca L Crawford, FNP
• Tiffani Creel
• Thomas Marion Croley, DDS
• Chantal Rayunza Culpepper, MD
• Kathryn Eloyce Curless, OT
• CVS Pharmacy Inc
• Chardin Dachelet
• Eileen Mary Danaher, LPC

• Physical Therapist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.