Active NPI
Angel Gallardo, PT, DPT
- Physical Therapist
- Burleson, TX
National Provider Identifier
1952094153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3131172
- Practice address
- 811 NE Alsbury Blvd Ste 800
Burleson, TX 76028-2664 - Phone
- (817) 293-7311
- NPI assigned
- Jun 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3131172 | TX | Primary |
Addresses
Primary practice location
811 NE Alsbury Blvd Ste 800
Burleson, TX 76028-2664
Mailing address
2505 NW 28TH St
Fort Worth, TX 76106-6763
Phone (682) 557-6125
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3131172 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1952094153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 NW 28TH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761066763",
"telephone_number": "682-557-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 NE ALSBURY BLVD STE 800",
"city": "BURLESON",
"state": "TX",
"postal_code": "760282664",
"telephone_number": "817-293-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLARDO",
"first_name": "ANGEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3131172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.