Individual provider Active NPI

Andrea Nicole Pallais, PT

  • Physical Therapist
  • Shenandoah, TX
National Provider Identifier
1831542323
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1274305 Issued in TX
Practice address
17937 Interstate 45 S
Suite 143
Shenandoah, TX 77385-8706
Phone
(936) 273-0015
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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 1274305 TX Primary

Addresses

Primary practice location

17937 Interstate 45 S
Suite 143
Shenandoah, TX 77385-8706

Mailing address

2210 W Dallas St
Apt 1542
Houston, TX 77019-4366
Phone (225) 266-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003000173 TX Practitioner - Physical Therapist in Private Practice 5698062826 Reassigns benefits to 1 organization

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
Breathing Centers of Texas, PLLCGroup PAC ID 4284781428, 7 clinicians

Practice addresses (Care Compare)

17937 Interstate 45 S
Suite 143
Shenandoah, TX 77385-8783
Phone (936) 273-0015

Merit-based Incentive Payment System (MIPS)

Final score
78.26 of 100Reported as virtual group
Quality
78.87
Improvement activities
40
Cost
39.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1274305TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breathing Centers of Texas, PLLC Physical Therapist CurrentSince Aug 30, 2016 Accepting new patients
Breathing Centers of Texas, PLLC Physical Therapist CurrentSince Aug 30, 2016 Accepting new patients
Breathing Centers of Texas, PLLC Physical Therapist Past Accepting new patients

Locations

1127 Eldridge Pkwy
Ste 800
Houston, TX 77077
Phone (346) 410-5239

1127 Eldridge Pkwy
Houston, TX 77077

6108 S Rice Ave
Houston, TX 77081

6108 S Rice Ave
Ste 100
Houston, TX 77081
Phone (713) 660-0663

17937 Interstate 45 S
Ste 143
Shenandoah, TX 77385
Phone (936) 273-0015

2655 Cordes Dr
Ste 110
Sugar Land, TX 77479
Phone (281) 980-2525

1416 FM 528 Rd
Ste A
Webster, TX 77598
Phone (815) 238-2769

Organizations & group practices 3

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1831542323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 W DALLAS ST",
            "address_2": "APT 1542",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194366",
            "telephone_number": "225-266-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17937 INTERSTATE 45 S",
            "address_2": "SUITE 143",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858706",
            "telephone_number": "936-273-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLAIS",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1274305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.