Active NPI
Ruth Mariz Mission Perez, PT
- Physical Therapist
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1312646
- Practice address
- 6828 Stonebrook Pkwy Ste 300
Frisco, TX 75034-1303 - Phone
- (469) 403-2022
- Fax
- (972) 694-7218
- NPI assigned
- Dec 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 1312646 | TX | Primary |
Addresses
Primary practice location
6828 Stonebrook Pkwy Ste 300
Frisco, TX 75034-1303
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
1498 Hudson Bridge Rd
Stockbridge, GA 30281-5018
Phone (678) 289-0525
Other practice location 2
1580 Sawgrass Corporate Pkwy Ste 200
Sunrise, FL 33323-2869
Phone (682) 329-0970
Other names 1
- Ruth Mariz Bunagan Mission
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6828 Stonebrook Pkwy
Suite 300
Frisco, TX 75034-1303
Phone (469) 403-2022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1312646 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
8845 Gary Burns Dr
Ste 100
Frisco, TX 75034
Phone (469) 403-2090
6828 Stonebrook Pkwy
Ste 300
Frisco, TX 75034
Phone (469) 403-2022
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 2
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.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1811657141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6828 STONEBROOK PKWY STE 300",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341303",
"telephone_number": "469-403-2022",
"fax_number": "972-694-7218"
}
],
"practiceLocations": [
{
"address_1": "1498 Hudson Bridge Rd",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302815018",
"country_code": "US",
"telephone_number": "678-289-0525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1580 Sawgrass Corporate Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333232869",
"country_code": "US",
"telephone_number": "682-329-0970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "RUTH MARIZ",
"middle_name": "MISSION",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1312646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH MARIZ",
"last_name": "MISSION",
"middle_name": "BUNAGAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.