Active NPI
Maria Rousseva, PT, DPT
- Physical Therapist
- Burleson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1346692
- Practice address
- 12550 South Fwy Ste 106
Burleson, TX 76028-8438 - Phone
- (817) 426-4401
- Fax
- (817) 426-4410
- NPI assigned
- Jul 1, 2021
- Last updated
- Jul 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1346692 | TX | Primary |
Addresses
Primary practice location
12550 South Fwy Ste 106
Burleson, TX 76028-8438
Mailing address
12550 South Fwy Ste 106
Burleson, TX 76028-8438
Phone (817) 426-4401
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6501 Harris Pkwy
Fort Worth, TX 76132-6102
Phone (817) 370-9891
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1346692 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Sportherapy LLC | Physical Therapist | Current | Accepting new patients |
| Crossroads Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Sportherapy Southwest, PC | Physical Therapist | Past | Accepting new patients |
| Gateway Partners Inc | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
12550 South Fwy
Ste 106
Burleson, TX 76028
Phone (817) 426-4401
11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601
3690 W Wheatland Rd
Ste 10
Dallas, TX 75237
Phone (972) 296-6645
3824 S Carrier Pkwy
Ste 490
Grand Prairie, TX 75052
Phone (972) 262-9972
8857 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 413-8700
965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1801812698
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1861062804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12550 SOUTH FWY STE 106",
"city": "BURLESON",
"state": "TX",
"postal_code": "760288438",
"telephone_number": "817-426-4401",
"fax_number": "817-426-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12550 SOUTH FWY STE 106",
"city": "BURLESON",
"state": "TX",
"postal_code": "760288438",
"telephone_number": "817-426-4401",
"fax_number": "817-426-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSEVA",
"first_name": "MARIA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1346692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.