Individual provider Active NPI

Majal Buenaflor Minguez, PT

  • Physical Therapist
  • Lufkin, TX
National Provider Identifier
1861428187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1121374 Issued in TX
Practice address
609 Ellis Ave
Lufkin, TX 75904-3820
Phone
(936) 634-4282
Fax
(936) 634-4285
NPI assigned
Jun 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1121374 TX Primary

Addresses

Primary practice location

609 Ellis Ave
Lufkin, TX 75904-3820

Mailing address

774 Robinson LN
Huntington, TX 75949-3229
Phone (936) 422-4295

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

State licenses

LicenseStateTypeSpecialty
1121374TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Neuro Rehab Physical Therapist PastSince Aug 26, 2005 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861428187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 ROBINSON LN",
            "city": "HUNTINGTON",
            "state": "TX",
            "postal_code": "759493229",
            "telephone_number": "936-422-4295",
            "fax_number": "936-634-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043820",
            "telephone_number": "936-634-4282",
            "fax_number": "936-634-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGUEZ",
        "first_name": "MAJAL",
        "middle_name": "BUENAFLOR",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1121374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.