Active NPI
Dwan Rafael Nash
- Physical Therapy Assistant
- Pearland, TX
National Provider Identifier
1336927763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2161719
- Practice address
- 11200 Discovery Bay
Pearland, TX 77584-3168 - Phone
- (205) 765-7575
- NPI assigned
- Sep 18, 2023
- 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 Therapy Assistant | 225200000X | 2161719 | TX | Primary |
Addresses
Primary practice location
11200 Discovery Bay
Pearland, TX 77584-3168
Mailing address
12055 Sabo Rd Apt 114
Houston, TX 77089-6284
Phone (205) 765-7575
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 |
|---|---|---|---|
| 2161719 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1336927763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12055 SABO RD APT 114",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896284",
"telephone_number": "205-765-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 DISCOVERY BAY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775843168",
"telephone_number": "205-765-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "DWAN",
"middle_name": "RAFAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2161719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
- My Nurse Hospice and Private Sitters Corp
- My Safe Space Counseling, LLC
- N and N Pain and Injury Clinic
- Satish Shrinivas Naik, MD
- Kristal G Naquin
- Natasha E. Rose, MD, PA (Inspire General and Neurological Rehabilitation)
- Jessica Nathan, MSOT, OTR, CIMC
- National Vision, Inc. (America's Best Contacts & Eyeglasses)
- National Vision, Inc. (America's Best Contacts & Eyeglasses)
- Nature Green Leaf (Nature Green Leaf Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.