Marellen May Diwa Pantig

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1391953 Issued in TX

Practice address

245 Trapper Creek Dr
Conroe, TX 77304-3487

Phone

(936) 766-2005

NPI assigned

Oct 2, 2024

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aegis Group Practice LLC

  • Physical Therapist
  • Richardson, TX
  • NPI 1972288728
  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Arlington, TX
  • NPI 1932884780
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1508684143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TRAPPER CREEK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043487",
            "telephone_number": "936-766-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TRAPPER CREEK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043487",
            "telephone_number": "936-766-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTIG",
        "first_name": "MARELLEN MAY",
        "middle_name": "DIWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1391953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palliconsults, LLC
• Sergio Fabian Paluk, D.D.S.
• Lisa Pamplin, FNP-C
• Kayla Panos, DPT
• Maria Pantella, MA
• Amber Marie Papanos, CCC-SLP
• Parceria ER Conroe LLC
• Parceria ER Conroe Physicians PLLC
• Emily Rose Parker
• Kristen Parker, M.S., CCC-SLP

• Physical Therapist in Conroe, TX
• Providers in Conroe, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.