Individual provider Active NPI

Talal Hariri, PT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1750915567
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1192429 Issued in TX
Practice address
10125 Katy Fwy Ste 100
Houston, TX 77024-1287
Phone
(713) 984-6720
Fax
(713) 242-3931
NPI assigned
Mar 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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 1192429 TX Primary

Addresses

Primary practice location

10125 Katy Fwy Ste 100
Houston, TX 77024-1287

Mailing address

10125 Katy Fwy Ste 100
Houston, TX 77024-1287
Phone (713) 984-6720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129001850 TX Practitioner - Physical Therapist in Private Practice 6305299116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

522 Texan TRL
Suite B
Corpus Christi, TX 78411-2563
Phone (361) 260-6420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shea Physical Therapy Specialists LLC Physical Therapist CurrentSince Dec 19, 2023 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

5440 Everhart Rd
Ste 1
Corpus Christi, TX 78411
Phone (361) 992-1435

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1750915567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 KATY FWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241287",
            "telephone_number": "713-984-6720",
            "fax_number": "713-242-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 KATY FWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241287",
            "telephone_number": "713-984-6720",
            "fax_number": "713-242-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIRI",
        "first_name": "TALAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1192429",
            "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 Mar 2, 2020; 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.