Individual provider Active NPI

Airiel D Sananikone, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1720389901
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1201550 Issued in TX
Practice address
1718 Fry Rd Ste 335
Houston, TX 77084-5849
Phone
(281) 492-2828
Fax
(281) 492-2825
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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 1201550 TX Primary

Addresses

Primary practice location

1718 Fry Rd Ste 335
Houston, TX 77084-5849

Mailing address

13202 Briar Forest Dr. Apt # 1108
Houston, TX 77077
Phone (318) 447-2167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1201550TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Iperformance Center Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients

Locations

209 S A St
Pensacola, FL 32502
Phone (850) 533-0266

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1720389901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13202 BRIAR FOREST DR. APT # 1108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "318-447-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 FRY RD STE 335",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845849",
            "telephone_number": "281-492-2828",
            "fax_number": "281-492-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANANIKONE",
        "first_name": "AIRIEL",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1201550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.