Dana Abu-Maizar, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1342852 Issued in TX

Practice address

6913 Camp Bowie Blvd Ste 177
Fort Worth, TX 76116-7169

Phone

(682) 312-7693

Fax

(682) 708-8126

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1023692563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 177",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167169",
            "telephone_number": "682-312-7693",
            "fax_number": "682-708-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 177",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167169",
            "telephone_number": "682-312-7693",
            "fax_number": "682-708-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU-MAIZAR",
        "first_name": "DANA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1342852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dana@nrcclinic.com",
            "affiliation": "N",
            "address_1": "6913 Camp Bowie Blvd Ste 177",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761167169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.