Individual provider Active NPI

Anthony G Pineda, MS, MED, LAT

  • Athletic Trainer
  • Cypress, TX
National Provider Identifier
1871703520
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT3844 Issued in TX
Practice address
10822 Barker Gate CT
Cypress, TX 77433-2533
Phone
(281) 704-0513
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Rehabilitation Practitioner 225400000X
Kinesiotherapist 226300000X
Athletic Trainer 2255A2300X AT3844 TX Primary

Addresses

Primary practice location

10822 Barker Gate CT
Cypress, TX 77433-2533

Mailing address

10822 Barker Gate CT
Cypress, TX 77433-2533
Phone (281) 704-0513

Other practice location 1

6560 Fannin St
Suite 450
Houston, TX 77030-2761
Phone (281) 807-8103

Other names 1

  • Anthony G Pineda Professional name

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)
Not enrolled
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
AT3844TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1871703520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10822 BARKER GATE CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332533",
            "telephone_number": "281-704-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10822 BARKER GATE CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332533",
            "telephone_number": "281-704-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6560 Fannin St",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302761",
            "country_code": "US",
            "telephone_number": "281-807-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MS, MED, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "PINEDA",
            "middle_name": "G",
            "credential": "MS, MED, LAT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.