Active NPI
Mitchell Guberman, DPT
- Physical Therapist
- Houston, TX
National Provider Identifier
1760767883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1210461
- Practice address
- 5771 Enid St
Houston, TX 77009-1208 - Phone
- (713) 880-4400
- Fax
- (713) 869-8637
- NPI assigned
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1210461 | TX | Primary |
Addresses
Primary practice location
5771 Enid St
Houston, TX 77009-1208
Mailing address
20333 State Highway 249
Ste 200
Houston, TX 77070-2613
Phone (305) 978-0525
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1760767883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20333 STATE HIGHWAY 249",
"address_2": "STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770702613",
"telephone_number": "305-978-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5771 ENID ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770091208",
"telephone_number": "713-880-4400",
"fax_number": "713-869-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUBERMAN",
"first_name": "MITCHELL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1210461",
"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 Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.