Individual provider Active NPI

Maricar Faris Hwang, PTA

  • Physical Therapy Assistant
  • Sugar Land, TX
National Provider Identifier
1891418190
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2083376 Issued in TX
Practice address
800 Bonaventure Way Ste 167
Sugar Land, TX 77479-8007
Phone
(832) 559-2900
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2083376 TX Primary

Addresses

Primary practice location

800 Bonaventure Way Ste 167
Sugar Land, TX 77479-8007

Mailing address

800 Bonaventure Way Ste 167
Sugar Land, TX 77479-8007
Phone (832) 559-2900

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Maricar.hwang@fyzical.com Direct Evolve Physical Therapy, LLC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2083376TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Physical Therapy, LLC Physical Therapy Assistant CurrentSince Sep 25, 2022 Accepting new patients

Locations

800 Bonaventure Way
Ste 167
Sugar Land, TX 77479
Phone (832) 559-2900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1891418190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 167",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798007",
            "telephone_number": "832-559-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 167",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798007",
            "telephone_number": "832-559-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "MARICAR",
        "middle_name": "FARIS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2083376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Maricar.hwang@fyzical.com",
            "affiliation": "Y",
            "affiliationName": "Evolve Physical Therapy, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Bonaventure Way Ste 167",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774798007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.