Individual provider Active NPI

Mirna Rebeckah Arias, PTA

  • Physical Therapy Assistant
  • Humble, TX
National Provider Identifier
1144917451
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2174317 Issued in TX
Practice address
8717 Humble Westfield Rd BLDG H
Humble, TX 77338-4471
Phone
(281) 548-2772
NPI assigned
Apr 18, 2023
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2174317 TX Primary

Addresses

Primary practice location

8717 Humble Westfield Rd BLDG H
Humble, TX 77338-4471

Mailing address

12109 La Salle Oaks
Conroe, TX 77304-1383
Phone (936) 648-3946

Other practice location 1

14825 Northwest Fwy Ste 800
Houston, TX 77040-4081
Phone (281) 890-0001

Other practice location 2

367 Greens Rd
Houston, TX 77060-1903
Phone (281) 875-1800

Other practice location 3

1150 N Loop 336 W
Conroe, TX 77301-1156
Phone (936) 494-3777

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
2174317TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1144917451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 LA SALLE OAKS",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041383",
            "telephone_number": "936-648-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 HUMBLE WESTFIELD RD BLDG H",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384471",
            "telephone_number": "281-548-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14825 Northwest Fwy Ste 800",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770404081",
            "country_code": "US",
            "telephone_number": "281-890-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "367 Greens Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770601903",
            "country_code": "US",
            "telephone_number": "281-875-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 N Loop 336 W",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773011156",
            "country_code": "US",
            "telephone_number": "936-494-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARIAS",
        "first_name": "MIRNA",
        "middle_name": "REBECKAH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2174317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.