Active NPI
Marianenie Caro Reyes, P.T.
- Physical Therapist
- Houston, TX
National Provider Identifier
1174822290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1040988
- Practice address
- 13611 Champions Centre Dr
Houston, TX 77069-2223 - Phone
- (281) 586-9824
- Fax
- (281) 586-9584
- NPI assigned
- Mar 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 1040988 | TX | Primary |
Addresses
Primary practice location
13611 Champions Centre Dr
Houston, TX 77069-2223
Mailing address
PO Box 691631
Houston, TX 77269-1631
Phone (281) 586-9824
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 |
|---|---|---|---|
| 1040988 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nisal Corporation | Physical Therapist | Past | Accepting new patients |
| Nisal Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Pasadena, TX
- NPI 1013035732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1174822290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 691631",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772691631",
"telephone_number": "281-586-9824",
"fax_number": "281-586-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13611 CHAMPIONS CENTRE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770692223",
"telephone_number": "281-586-9824",
"fax_number": "281-586-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MARIANENIE",
"middle_name": "CARO",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1040988",
"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 Mar 16, 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.