Active NPI
Dustin Ma
- Physical Therapist
- Houston, TX
National Provider Identifier
1083997894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1209017
- Practice address
- 4009 Bellaire Blvd
Suite M
Houston, TX 77025-1168 - Phone
- (713) 839-7800
- Fax
- (713) 839-7931
- NPI assigned
- Sep 28, 2011
- Last updated
- Sep 28, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1209017 | TX | Primary |
Addresses
Primary practice location
4009 Bellaire Blvd
Suite M
Houston, TX 77025-1168
Mailing address
9000 Southwest Fwy
Suite 250
Houston, TX 77074-1526
Phone (713) 779-5800
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 |
|---|---|---|---|
| 1209017 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1083997894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 SOUTHWEST FWY",
"address_2": "SUITE 250",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741526",
"telephone_number": "713-779-5800",
"fax_number": "713-779-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 BELLAIRE BLVD",
"address_2": "SUITE M",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251168",
"telephone_number": "713-839-7800",
"fax_number": "713-839-7931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "DUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1209017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.