MARY BADRA DPT
NPI 1417633561
Physical Therapist - Neurology in Houston, TX

Q: What is Mary Badra's NPI number?

The NPI number for Mary Badra is 1417633561. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Q: What is Mary Badra's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Mary Badra was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2023Accepts Medicare Assignment

2455 S BRAESWOOD BLVD, HOUSTON, TX 77030(713) 797-5942 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mary Badra Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BADRA DPT (NPI 1417633561) is an individual neurology provider in Houston, Texas, licensed in Texas (3131673) and active in the NPI registry since June 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1417633561

Entity TypeIndividualFemale

Primary Taxonomy2251N0400X

Provider Legal NameMARY BADRACredential: DPT

Location Address2455 S BRAESWOOD BLVDHouston, TX 77030-4305

Mailing Address78 Terraglen DrThe Woodlands, TX 77382-1046

Phone(713) 797-5942

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 23, 2023

NPPES CertifiedJune 23, 2023

✔ NPI 1417633561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

License✔ Licensed in TX · 3131673

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

2455 S BRAESWOOD BLVD, Houston, TX 77030

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Badra Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012442072

PECOS Enrollment IDI20241127001825

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT DIXON

Social Worker (Clinical)