Individual provider Active NPI

Mary Ann Harnden, MS,PT

  • Physical Therapist
  • Lake Jackson, TX
National Provider Identifier
1619953023
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1033942 Issued in TX
Practice address
337 Sheri LN
Lake Jackson, TX 77566-3269
Phone
(979) 299-9766
Fax
(979) 798-5153
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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 1033942 TX Primary

Addresses

Primary practice location

337 Sheri LN
Lake Jackson, TX 77566-3269

Mailing address

337 Sheri LN
Lake Jackson, TX 77566-3269
Phone (979) 299-9766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000260 TX Practitioner - Physical Therapist in Private Practice 0749290476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angel Leaf Rehab and Consulting LLCGroup PAC ID 2668636192, 4 clinicians

Practice addresses (Care Compare)

309 Plantation Dr
Lake Jackson, TX 77566-6142
Phone (979) 418-7165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1033942TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Leaf Rehab and Consulting LLC Physical Therapist CurrentSince Feb 25, 2019 Accepting new patients
Hiller and Hurt PC Physical Therapist PastSince Jun 21, 2010 Accepting new patients
Fitness & Rehabilitation Services, LLC Physical Therapist PastSince Sep 11, 2006 Accepting new patients
Great Minds Academy, LLC PastSince Nov 26, 2023 Accepting new patients
F & R S Holding Co Physical Therapist PastSince Mar 24, 2011 Accepting new patients
Brazosport Rehabilitation & Wellness, LLC Physical Therapist PastSince Apr 18, 2008 Accepting new patients

Locations

309 Plantation Dr
Ste P
Lake Jackson, TX 77566
Phone (979) 401-0965

309 Plantation Dr
Lake Jackson, TX 77566
Phone (979) 418-7165

Organizations & group practices 6

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1619953023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 SHERI LN",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775663269",
            "telephone_number": "979-299-9766",
            "fax_number": "979-798-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 SHERI LN",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775663269",
            "telephone_number": "979-299-9766",
            "fax_number": "979-798-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNDEN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS,PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1033942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.