Active NPI
Michael D Pickering, PT
- Sports Physical Therapist
- Paris, TX
National Provider Identifier
1982644589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 1113694
- Practice address
- 2875 Lewis Lane
Suite B
Paris, TX 75460-9331 - Phone
- (903) 785-3861
- Fax
- (903) 739-8768
- NPI assigned
- Jun 8, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1113694 | TX | |
| Sports Physical Therapist | 2251S0007X | 1113694 | TX | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 1113694 | TX |
Addresses
Primary practice location
2875 Lewis Lane
Suite B
Paris, TX 75460-9331
Mailing address
2875 Lewis Lane
Suite B
Paris, TX 75460-9331
Phone (903) 785-3861
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7201425 | Other | AETNA PROVIDER NUMBER | |
| 84022T | Other | TX | BCBS PROVIDER NUMBER |
| 120513 | Other | SUPERIOR PROVIDER NUMBER |
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 |
|---|---|---|---|
| 1113694 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Clinic of Paris LP | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Hugo, OK
- NPI 1568488179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982644589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 LEWIS LANE",
"address_2": "SUITE B",
"city": "PARIS",
"state": "TX",
"postal_code": "754609331",
"telephone_number": "903-785-3861",
"fax_number": "903-739-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 LEWIS LANE",
"address_2": "SUITE B",
"city": "PARIS",
"state": "TX",
"postal_code": "754609331",
"telephone_number": "903-785-3861",
"fax_number": "903-739-8768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1113694",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1113694",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1113694",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7201425",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "84022T",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR PROVIDER NUMBER",
"identifier": "120513",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TX
- Irene Philip, DO
- Phillip B Bandel MD
- Brian Jay Phillips, MSN, APRN, BC, PMHNP
- Physical Therapy Clinic of Paris, LP
- Physicians Choice Dialysis of Paris LLC
- Pierce & Agnew LLC
- Rebecca Pierce
- Tracy Pipkin, MD
- Planned Parenthood of North Texas - Paris Health Services
- Platinum Palliative & Hospice Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.