Active NPI
Eliza Nazareno, PT, DPT
- Physical Therapist
- Houston, TX
National Provider Identifier
1447822291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1344563
- Practice address
- 12727 Kimberley LN Ste 104
Houston, TX 77024-4060 - Phone
- (713) 365-9338
- Fax
- (713) 365-9488
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- 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 Therapist | 225100000X | 1344563 | TX | Primary |
Addresses
Primary practice location
12727 Kimberley LN Ste 104
Houston, TX 77024-4060
Mailing address
4009 Bellaire Blvd Ste M
Houston, TX 77025-1168
Phone (713) 839-7800
Other practice location 1
17326 Highway 3
Webster, TX 77598-4133
Phone (281) 332-3000
Other practice location 2
11242 Fm 1960 Rd W Ste 104
Houston, TX 77065-3635
Phone (281) 469-8163
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1344563 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1447822291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 BELLAIRE BLVD STE M",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251168",
"telephone_number": "713-839-7800",
"fax_number": "713-839-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12727 KIMBERLEY LN STE 104",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770244060",
"telephone_number": "713-365-9338",
"fax_number": "713-365-9488"
}
],
"practiceLocations": [
{
"address_1": "17326 Highway 3",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "TX",
"postal_code": "775984133",
"country_code": "US",
"telephone_number": "281-332-3000",
"fax_number": "281-332-9171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11242 Fm 1960 Rd W Ste 104",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770653635",
"country_code": "US",
"telephone_number": "281-469-8163",
"fax_number": "281-469-5559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZARENO",
"first_name": "ELIZA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1344563",
"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 Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.