Individual provider Active NPI

Jose Angelo Carino

  • Physical Therapist
  • Denton, TX
National Provider Identifier
1891457362
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1373026 Issued in TX
Practice address
1812 Briar Rose Dr
Denton, TX 76207-2225
Phone
(347) 510-1486
NPI assigned
Oct 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2165364 TX
Physical Therapist 225100000X 1373026 TX Primary

Addresses

Primary practice location

1812 Briar Rose Dr
Denton, TX 76207-2225

Mailing address

1812 Briar Rose Dr
Denton, TX 76207-2225
Phone (347) 510-1486

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420003128 TX Practitioner - Physical Therapist in Private Practice 8224493598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elata Health and Wellness, LLCGroup PAC ID 8527359652, 6 clinicians

Practice addresses (Care Compare)

2600 Eldorado Pkwy
130 Active Life Physical Therapy
McKinney, TX 75070-7517
Phone (972) 984-7670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1373026TXMDPhysical Therapist
2165364TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elata Health and Wellness, LLC Physical Therapist CurrentSince Feb 9, 2023 Accepting new patients
M a P Active - McKinney LLC Physical Therapist CurrentSince Feb 9, 2023 Accepting new patients

Locations

2600 Eldorado Pkwy
Ste 130
McKinney, TX 75070
Phone (972) 984-7670

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1891457362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BRIAR ROSE DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762072225",
            "telephone_number": "347-510-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BRIAR ROSE DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762072225",
            "telephone_number": "347-510-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARINO",
        "first_name": "JOSE ANGELO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2165364",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1373026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; 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.