Individual provider Active NPI

Elisha Fierro

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1912748963
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9432 Katy Fwy Ste 470
Houston, TX 77055-6349
Phone
(832) 831-4188
NPI assigned
Jun 4, 2024
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 TX Primary

Addresses

Primary practice location

9432 Katy Fwy Ste 470
Houston, TX 77055-6349

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

7410 McCart Ave Ste 108
Fort Worth, TX 76133-7427
Phone (682) 350-4318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614002744 TX Practitioner - Physical Therapist in Private Practice 8820531155 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians
Revolve Physical Therapy LPGroup PAC ID 9638416902, 3 clinicians

Practice addresses (Care Compare)

7200 Cambridge St
Suite 1
Houston, TX 77030-4202
Phone (713) 798-2500

9432 Katy Fwy
Suite 470
Houston, TX 77055-6349
Phone (832) 831-4188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revolve Physical Therapy LP Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince May 28, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Sep 17, 2025 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 20, 2026 Accepting new patients
Baylor College of Medicine CurrentSince Sep 17, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince May 28, 2024 Accepting new patients
PTW Illum Physical Therapist PastSince Dec 9, 2019 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

7410 McCart Ave
Ste 108
Fort Worth, TX 76133
Phone (682) 350-4318

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

8570 Katy Fwy
Ste 116
Houston, TX 77024
Phone (832) 605-4494

9432 Katy Fwy
Ste 470
Houston, TX 77055
Phone (832) 831-4188

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Organizations & group practices 7

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1912748963",
    "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": "9432 KATY FWY STE 470",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556349",
            "telephone_number": "832-831-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7410 McCart Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761337427",
            "country_code": "US",
            "telephone_number": "682-350-4318",
            "fax_number": "817-241-1341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIERRO",
        "first_name": "ELISHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.