Mary R. Daulong, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1008928 Issued in TX

Practice address

15814 Champion Forest Dr
Ste 240
Spring, TX 77379-7141

Phone

(281) 866-9505

Fax

(281) 587-9791

NPI assigned

May 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Livingston Physical Therapy PC

  • Physical Therapist
  • Livingston, TX
  • NPI 1215930326
  NPD (past)
• Livingston Physician Services PA

  • Hospitalist Physician
  • Livingston, TX
  • NPI 1972891042
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1699778845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15814 CHAMPION FOREST DR",
            "address_2": "SUITE 240",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797141",
            "telephone_number": "281-866-9505",
            "fax_number": "281-587-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15814 CHAMPION FOREST DR",
            "address_2": "STE 240",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797141",
            "telephone_number": "281-866-9505",
            "fax_number": "281-587-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAULONG",
        "first_name": "MARY",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1008928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE LINK",
            "identifier": "0019105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAR PLAN PROVIDER #",
            "identifier": "8T0825",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Patrice Dark, FNP-BC
• Elizabeth Abena Darkowaa
• Madeleine Darnell
• Jennifer Darosa, RN
• Paola Dasso, SLP
• David a. Mouritsen, DDS, Ms, PLLC
• David C. Hogue Dental Group LTD., LLP
• David P Ellent PLLC
• Shay Davidson, LM
• Suad Bilkiss Davies

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.