Individual provider Active NPI

Drialis Dominguez Guerrero, MT

  • Physical Medicine & Rehabilitation Physician
  • Katy, TX
National Provider Identifier
1033931191
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MT141910 Issued in TX
Practice address
1808 Snake River Rd Ste D
Katy, TX 77449-7746
Phone
(346) 546-9653
Fax
(832) 626-3627
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT141910 TX
Physical Medicine & Rehabilitation Physician 208100000X MT141910 TX Primary

Addresses

Primary practice location

1808 Snake River Rd Ste D
Katy, TX 77449-7746

Mailing address

1808 Snake River Rd Ste D
Katy, TX 77449-7746
Phone (346) 546-9653

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT141910TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Therassage Medical Solution Physical Medicine & Rehabilitation CurrentSince Nov 3, 2024 Accepting new patients
Therassage MD, PLLC Physical Medicine & Rehabilitation CurrentSince Nov 3, 2024 Accepting new patients

Locations

1808 Snake River Rd
Ste D
Katy, TX 77449
Phone (346) 546-9653

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1033931191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SNAKE RIVER RD STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497746",
            "telephone_number": "346-546-9653",
            "fax_number": "832-626-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SNAKE RIVER RD STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497746",
            "telephone_number": "346-546-9653",
            "fax_number": "832-626-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ GUERRERO",
        "first_name": "DRIALIS",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT141910",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "MT141910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.