Maria F Ayala Zuniga

Individual provider Active NPI Physical Therapy Assistant · Granbury, TX

NPI 1760104186 · NPPES record last updated Sep 13, 2022

Key facts

NPI
1760104186
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2169772 (TX)
Practice address
5310 Acton Hwy Ste 106
Granbury, TX 76049-3105
Phone
(817) 326-1375
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2169772TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy, Inc Physical Therapy Assistant Current
since Sep 20, 2022
Accepting new patients

Locations

5310 Acton Hwy
Ste 106
Granbury, TX 76049
Phone (817) 326-1375

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2169772 TX Yes

Addresses

Primary practice location

5310 Acton Hwy Ste 106
Granbury, TX 76049-3105

Mailing address

5310 Acton Hwy Ste 106
Granbury, TX 76049-3105
Phone (817) 326-1375

Other providers in Granbury, TX

All providers in Granbury, TX · Physical Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.