Active NPI
Mariah Bertrand
- Physical Therapist
- Rockwall, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2268 N Lake Shore Dr Ste 106
Rockwall, TX 75087-0280 - Phone
- (972) 979-6577
- NPI assigned
- Feb 15, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1383320 | TX | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2268 N Lake Shore Dr Ste 106
Rockwall, TX 75087-0280
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
10767 Carol Lynn Rd
Denham Springs, LA 70726-1665
Phone (866) 370-8206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2360 W Camp Wisdom Rd
Suite 140
Grand Prairie, TX 75052-2216
Phone (469) 460-6683
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Physical Therapy at Dawn, LLC | Physical Therapist | Current | Accepting new patients |
Locations (25 of 29)
790 Remington Blvd
Bolingbrook, IL 60440
6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930
6330 Riverside Plaza Ln NW
Ste 150
Albuquerque, NM 87120
Phone (505) 312-7930
3611 NM 528 NW
Ste 101
Albuquerque, NM 87114
Phone (505) 217-2826
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
5335 W Sublett Rd
Ste 151
Arlington, TX 76017
Phone (817) 839-9150
1827 SW Green Oaks Blvd
Ste 143
Arlington, TX 76017
Phone (512) 501-4783
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
379 E FM 1382
Ste 100
Cedar Hill, TX 75104
Phone (972) 460-4490
106 N Denton Tap Rd
Ste 220
Coppell, TX 75019
Phone (469) 528-6437
6029 Forest Ln
Dallas, TX 75230
Phone (469) 872-7548
12747 Midway Rd
Ste 150
Dallas, TX 75244
Phone (469) 872-4562
9660 Audelia Rd
Ste 101
Dallas, TX 75238
Phone (214) 273-0510
14999 Preston Rd
Ste 108C
Dallas, TX 75254
Phone (214) 231-4154
607 S Cedar Ridge Dr
Unit 102
Duncanville, TX 75137
Phone (214) 742-8560
1540 Eastchase Pkwy
Ste 4A
Fort Worth, TX 76120
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
8845 Gary Burns Dr
Ste 100
Frisco, TX 75034
Phone (469) 403-2090
1215 W Pioneer Pkwy
Ste 200
Grand Prairie, TX 75051
Phone (972) 400-4752
2360 W Camp Wisdom Rd
Ste 140
Grand Prairie, TX 75052
Phone (469) 460-6683
6420 N MacArthur Blvd
Ste 130
Irving, TX 75039
Phone (972) 402-8300
3141 E Broad St
Ste 111
Mansfield, TX 76063
Phone (817) 435-5248
410 W FM 544
Ste 105
Murphy, TX 75094
Phone (469) 606-5003
308 Coit Rd
Ste 400
Plano, TX 75075
Phone (469) 573-9606
4709 W Parker Rd
Ste 460
Plano, TX 75093
Phone (469) 440-5420
Organizations & group practices 3
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.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Physical Therapist
- Albuquerque, NM
- NPI 1780695551
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1053018440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2268 N LAKE SHORE DR STE 106",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750870280",
"telephone_number": "972-979-6577"
}
],
"practiceLocations": [
{
"address_1": "10767 Carol Lynn Rd",
"address_purpose": "LOCATION",
"city": "Denham Springs",
"state": "LA",
"postal_code": "707261665",
"country_code": "US",
"telephone_number": "866-370-8206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERTRAND",
"first_name": "MARIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1383320",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.