Active NPI
Nurfaidja Jilhano Ijiran, PT
- Physical Therapist
- Pearland, TX
National Provider Identifier
1700616620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1319388
- Practice address
- 2637 Lazy Bend St Ste 101
Pearland, TX 77581-1007 - Phone
- (281) 485-4144
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011698 | CT | |
| Physical Therapist | 225100000X | 1319388 | TX | Primary |
Addresses
Primary practice location
2637 Lazy Bend St Ste 101
Pearland, TX 77581-1007
Mailing address
2637 Lazy Bend St Ste 101
Pearland, TX 77581-1007
Phone (281) 485-4144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240824000309 | TX | Practitioner - Physical Therapist in Private Practice | 3274072087 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Theraworks Inc
Practice addresses (Care Compare)
2637 Lazy Bend St
Suite 101
Pearland, TX 77581-1007
Phone (281) 485-4144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011698 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraworks Inc | Physical Therapist | Current | Accepting new patients |
| Theraworks Inc | Physical Therapist | Current | Accepting new patients |
Locations
605 Rockmead Dr
Ste 200
Kingwood, TX 77339
Phone (281) 348-9588
2637 Lazy Bend St
Ste 101
Pearland, TX 77581
Phone (281) 485-4144
Organizations & group practices 2
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": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1700616620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 LAZY BEND ST STE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775811007",
"telephone_number": "281-485-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2637 LAZY BEND ST STE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775811007",
"telephone_number": "281-485-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IJIRAN",
"first_name": "NURFAIDJA",
"middle_name": "JILHANO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "011698",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1319388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.