Mariam Andorous, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1387735 Issued in TX

Practice address

800 N Jim Wright Fwy # 2
White Settlement, TX 76108-1068

Phone

(682) 414-6158

NPI assigned

Mar 28, 2024

Last updated

Mar 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Hands LLCGroup PAC ID 8729401922, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25131/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Hands LLC

  dba FYZICAL Therapy & Balance Centers Roanoke

  • Physical Therapy Clinic/Center
  • Roanoke, TX
  • NPI 1730702101

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1427809383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 WHISTLER CREEK DR APT 411",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778231",
            "telephone_number": "682-414-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N JIM WRIGHT FWY # 2",
            "city": "WHITE SETTLEMENT",
            "state": "TX",
            "postal_code": "761081068",
            "telephone_number": "682-414-6158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 Whistler Creek Dr Apt 411",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778231",
            "country_code": "US",
            "telephone_number": "682-414-6158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDOROUS",
        "first_name": "MARIAM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1387735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Abram, CCC-SLP
• Alison Belden
• Charles Frank Best
• Romana Brand, PHARMD
• Casey Brunson, OTA
• John Burk, PT

• Physical Therapist in White Settlement, TX
• Providers in White Settlement, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.