Active NPI
Josephine S. Birondo
- Physical Therapist
- Irving, TX
National Provider Identifier
1952992604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1059558
- Practice address
- 2101 W Northgate Dr
Irving, TX 75062-2650 - Phone
- (972) 255-4460
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- 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 | 1059558 | TX | Primary |
Addresses
Primary practice location
2101 W Northgate Dr
Irving, TX 75062-2650
Mailing address
2915 Paladium Dr
Grand Prairie, TX 75052-8059
Phone (469) 867-6992
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 |
|---|---|---|---|
| 1059558 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1952992604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 PALADIUM DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528059",
"telephone_number": "469-867-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 W NORTHGATE DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750622650",
"telephone_number": "972-255-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRONDO",
"first_name": "JOSEPHINE",
"middle_name": "S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1059558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.