Individual provider Active NPI

Nurfaidja Jilhano Ijiran, PT

  • Physical Therapist
  • Pearland, TX
National Provider Identifier
1700616620
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1319388 Issued in TX
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

Updated by the provider on Aug 5, 2024

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 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 IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 9133039647, 36 clinicians

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

LicenseStateTypeSpecialty
011698CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraworks Inc Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Theraworks Inc Physical Therapist CurrentSince Aug 19, 2024 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.

Verify at the official NPI Registry.