Maria Conchita Fernandez Cuadrado, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1321668 Issued in TX

Practice address

3710 Center St Suite 102 Suite 102
Deer Park, TX 77536

Phone

(281) 476-5800

NPI assigned

Aug 1, 2019

Sex

Female

Sole proprietor

Yes

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.

• New York Physical and Occupational Therapy Services, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631
  NPD
• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  Physical Therapist

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2022.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1053965590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 CENTER ST SUITE 102",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "77536",
            "telephone_number": "281-476-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CENTER ST SUITE 102 SUITE 102",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "77536",
            "telephone_number": "281-476-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ CUADRADO",
        "first_name": "MARIA",
        "middle_name": "CONCHITA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3123882",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1321668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3123882",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Es Tran Inc
• Everside Health LLC, Lexicon TX Clinic
• Expertox Inc.
• Farooqui and Guertin, PLLC
• Mohammed A Farooqui, DPM
• Shijin Justus Fernandez, APRN-CNP
• Donald Jay Fleming, D.C.
• Ronald Harrell Floyd, D.C.
• Amanda M Ford, NP
• William Conner Francis, FNP-C

• All providers in Deer Park, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.