Individual provider Active NPI

Maria Luz Dayrit, PT

  • Physical Therapist
  • Beaumont, TX
National Provider Identifier
1497774335
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1106722 Issued in TX
Practice address
4027 Dowlen Rd
Beaumont, TX 77706-6850
Phone
(409) 899-2765
Fax
(409) 924-9468
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1106722 TX Primary
Specialist 174400000X 1106722 TX

Addresses

Primary practice location

4027 Dowlen Rd
Beaumont, TX 77706-6850

Mailing address

4027 Dowlen Rd
Beaumont, TX 77706-6850
Phone (409) 899-2765

Other identifiers 2

IdentifierTypeStateIssuer
153062801MedicaidTX
86648TOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000260 TX Practitioner - Physical Therapist in Private Practice 0749271997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livewell Physical Therapy Limited PartnershipGroup PAC ID 5092865188, 3 clinicians

Practice addresses (Care Compare)

4027 Dowlen Rd
Beaumont, TX 77706-6850
Phone (409) 899-2765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1106722TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Physical Therapy Limited Partnership Physical Therapist CurrentSince May 6, 2009 Accepting new patients
Triangle Therapeutics Specialist PastSince Apr 8, 2002 Accepting new patients
Southeast Texas Hematology and Oncology Center, PA Specialist Past Accepting new patients
Norman Physical Therapy Limited PastSince May 6, 2009 Accepting new patients

Locations

4027 Dowlen Rd
Beaumont, TX 77706
Phone (409) 899-2765

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1497774335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066850",
            "telephone_number": "409-899-2765",
            "fax_number": "409-924-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066850",
            "telephone_number": "409-899-2765",
            "fax_number": "409-924-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYRIT",
        "first_name": "MARIA",
        "middle_name": "LUZ",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1106722",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1106722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153062801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86648T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.