Active NPI
Maria Bural, DPT
- Pediatric Physical Therapist
- Houston, TX
National Provider Identifier
1104194224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1267018
- Practice address
- 5209 Cornish St
Houston, TX 77007-1909 - Phone
- (631) 455-0744
- NPI assigned
- Dec 3, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 034509 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 1267018 | TX | Primary |
Addresses
Primary practice location
5209 Cornish St
Houston, TX 77007-1909
Mailing address
5209 Cornish St
Houston, TX 77007-1909
Phone (631) 455-0744
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 |
|---|---|---|---|
| 1267018 | TX | MD | Pediatric Physical Therapist |
| 034509 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1104194224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5209 CORNISH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770071909",
"telephone_number": "631-455-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5209 CORNISH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770071909",
"telephone_number": "631-455-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURAL",
"first_name": "MARIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-03",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "034509",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1267018",
"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 Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.