Individual provider Active NPI

Mauricio Porras Guridi, DPT

  • Physical Therapist
  • The Woodlands, TX
National Provider Identifier
1871231001
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1360129 Issued in TX
Practice address
3101 College Park Dr
The Woodlands, TX 77384-4099
Phone
(281) 362-0006
Fax
(281) 362-0233
NPI assigned
May 26, 2022
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 1360129 TX Primary

Addresses

Primary practice location

3101 College Park Dr
The Woodlands, TX 77384-4099

Mailing address

5730 Kansas St Ste B
Houston, TX 77007-1145
Phone (281) 682-4704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903000932 TX Practitioner - Physical Therapist in Private Practice 9739680497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marquette University School of Dentistry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Rehab Affiliates PLLCGroup PAC ID 9436562717, 16 clinicians

Practice addresses (Care Compare)

3101 College Park Dr
The Woodlands, TX 77384-4099
Phone (281) 362-0006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1360129TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Rehab Affiliates PLLC CurrentSince May 11, 2025 Accepting new patients

Locations

2202 La Branch St
Houston, TX 77002
Phone (713) 652-4052

26865 Interstate 45
Ste 300
The Woodlands, TX 77380
Phone (281) 292-4800

3101 College Park Dr
The Woodlands, TX 77384
Phone (281) 362-0006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1871231001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 KANSAS ST STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770071145",
            "telephone_number": "281-682-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 COLLEGE PARK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844099",
            "telephone_number": "281-362-0006",
            "fax_number": "281-362-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRAS GURIDI",
        "first_name": "MAURICIO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1360129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.