Individual provider Active NPI

Marianita Carbajal, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1730699174
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1282016 Issued in TX
Practice address
1045 Gemini St Ste 100
Houston, TX 77058-2806
Phone
(281) 335-1111
Fax
(281) 286-9250
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 1282016 TX Primary
Physical Therapist 225100000X CP024906T VA

Addresses

Primary practice location

1045 Gemini St Ste 100
Houston, TX 77058-2806

Mailing address

1045 Gemini St Ste 100
Houston, TX 77058-2806
Phone (281) 335-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, DC, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220418000793 LA Practitioner - Physical Therapist in Private Practice 7719374917 Reassigns benefits to 1 organization
I20240130001531 DC Practitioner - Physical Therapist in Private Practice 7719374917 Reassigns benefits to 1 organization
I20251006001597 TX Practitioner - Physical Therapist in Private Practice 7719374917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marston Shaun Holt MD PAGroup PAC ID 1456534288, 14 clinicians

Practice addresses (Care Compare)

1045 Gemini St
Suite 100
Houston, TX 77058-2806
Phone (281) 335-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1282016TXMDPhysical Therapist
CP024906TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marston Shaun Holt MD PA CurrentSince Sep 16, 2025 Accepting new patients
Anderson Clinic LLC CurrentSince Dec 21, 2023 Accepting new patients
River Region Rehab, LLC Physical Therapist CurrentSince Jan 6, 2022 Accepting new patients
Anderson Clinic LLC Physical Therapist CurrentSince Dec 21, 2023 Accepting new patients

Locations

70367 Highway 21
#200
Covington, LA 70433
Phone (985) 590-3303

12371 Highway 90
Ste D
Luling, LA 70070
Phone (985) 331-1001

1045 Gemini St
Ste 100
Houston, TX 77058
Phone (281) 335-1111

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

2800 S Shirlington Rd
Ste 100
Arlington, VA 22206
Phone (703) 866-3131

Organizations & group practices 4

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1730699174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 GEMINI ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582806",
            "telephone_number": "281-335-1111",
            "fax_number": "281-286-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 GEMINI ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582806",
            "telephone_number": "281-335-1111",
            "fax_number": "281-286-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAJAL",
        "first_name": "MARIANITA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1282016",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP024906T",
            "primary": false
        }
    ],
    "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 Sep 22, 2025; 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.