Individual provider Active NPI

Joel Homero Obregon, PT, DPT

  • Physical Therapist
  • Lubbock, TX
National Provider Identifier
1932624095
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1293936 Issued in TX
Practice address
6014 45TH St
Lubbock, TX 79407-3773
Phone
(806) 780-7433
Fax
(806) 780-7434
NPI assigned
Aug 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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 1293936 TX Primary

Addresses

Primary practice location

6014 45TH St
Lubbock, TX 79407-3773

Mailing address

1727 W Sage Rd
Kingsville, TX 78363-2696
Phone (361) 522-7401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004002202 TX Practitioner - Physical Therapist in Private Practice 5395010102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5917 Crosstown Epwy
SH 286
Corpus Christi, TX 78417-3504
Phone 3618541454113

Merit-based Incentive Payment System (MIPS)

Final score
79.43 of 100Reported as group
Quality
76.55
Promoting interoperability
96
Improvement activities
40
Cost
58.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Corpus Christi CurrentSince Apr 27, 2024 Accepting new patients
Orthopedic Associates of Corpus Christi CurrentSince Apr 27, 2024 Accepting new patients

Locations

5917 Crosstown Expy
Ste 286
Corpus Christi, TX 78417

5917 Crosstown Expy
#286
Corpus Christi, TX 78417
Phone (361) 854-1454

5917 Crosstown Expy
Corpus Christi, TX 78417
Phone 3618540811113

Interoperability endpoints

  • Direct secure messaging: joel.obregon.1@15288.direct.athenahealth.com

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1932624095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 W SAGE RD",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783632696",
            "telephone_number": "361-522-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 45TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073773",
            "telephone_number": "806-780-7433",
            "fax_number": "806-780-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBREGON",
        "first_name": "JOEL",
        "middle_name": "HOMERO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1293936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.