Miranda Paige Accettella, PT, DPT
Individual provider Active NPI Physical Therapist · Katy, TX
NPI 1427655950 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1427655950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1337078 (TX)
- Practice address
- 21630 Merchants Way
Katy, TX 77449-2514 - Phone
- (832) 230-1518
- Fax
- (281) 741-7355
- NPI assigned
- Oct 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1337078 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 1337078 | TX | Yes |
Addresses
Primary practice location
21630 Merchants Way
Katy, TX 77449-2514
Mailing address
21630 Merchants Way
Katy, TX 77449-2514
Phone (832) 230-1518
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.