Individual provider Active NPI

Eliza Nazareno, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1447822291
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1344563 Issued in TX
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

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1344563TXMDPhysical 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.

Verify at the official NPI Registry.