Individual provider Active NPI

Geran Michelle Mahler, PT

  • Physical Therapist
  • Spring, TX
National Provider Identifier
1104900349
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1165663 Issued in TX
Practice address
16835 Deer Creek Dr
Spring, TX 77379-4968
Phone
(281) 379-4373
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1165663 TX Primary

Addresses

Primary practice location

16835 Deer Creek Dr
Spring, TX 77379-4968

Mailing address

17827 Burnt Leaf LN
Spring, TX 77379-2925
Phone (281) 608-3977

Other practice location 1

9810 Fm 1960 Bypass Rd W Ste 190
Humble, TX 77338-3522
Phone (281) 446-0371

Other names 1

  • Geran Ethington Former name

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

LicenseStateTypeSpecialty
1165663TXMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1104900349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17827 BURNT LEAF LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792925",
            "telephone_number": "281-608-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16835 DEER CREEK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794968",
            "telephone_number": "281-379-4373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9810 Fm 1960 Bypass Rd W Ste 190",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773383522",
            "country_code": "US",
            "telephone_number": "281-446-0371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHLER",
        "first_name": "GERAN",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1165663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERAN",
            "last_name": "ETHINGTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.