AMANDA KRISTAN MIRISE DPT
NPI 1497566624
Physical Therapist - Pediatrics in Tyler, TX

Q: What is Amanda Mirise's NPI number?

The NPI number for Amanda Mirise is 1497566624. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Q: What is Amanda Mirise's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Mirise was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 January 16, 2025

100 E FERGUSON ST, TYLER, TX 75702(903) 509-2040 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amanda Kristan Mirise Dpt NPPES

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

AMANDA KRISTAN MIRISE DPT (NPI 1497566624) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (1401088) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1497566624

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameAMANDA KRISTAN MIRISECredential: DPT

Location Address100 E FERGUSON STTyler, TX 75702-5759

Mailing Address100 E Ferguson StTyler, TX 75702-5759

Phone(903) 509-2040

Sole ProprietorYes

Enumeration DateJanuary 16, 2025

NPPES CertifiedJanuary 16, 2025

✔ NPI 1497566624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code2251P0200X

License✔ Licensed in TX · 1401088

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

100 E FERGUSON ST, Tyler, TX 75702

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Other Providers at the Same Location NPPES 20

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

MAURA ANN O'DEA SLPA

Specialist/Technologist (Speech-Language Assistant)

100 E FERGUSON ST
TYLER, TX 75702

Smith County (877) 688-2520

JACQUELINE LOYOLA

Occupational Therapy Assistant

100 E FERGUSON ST
TYLER, TX 75702

Smith County (903) 509-2040

KASI N CIGAINERO SLP-ASSISTANT

Specialist/Technologist (Speech-Language Assistant)

100 E FERGUSON ST
TYLER, TX 75702

Smith County (318) 519-9284

MISS ALYSEN JEFFERSON SLP-ASSISTANT

Specialist/Technologist (Speech-Language Assistant)

100 E FERGUSON ST
TYLER, TX 75702

Smith County (903) 509-2040

LINDSEY HARRISON

Speech-Language Pathologist

100 E FERGUSON ST
TYLER, TX 75702

Smith County (903) 509-2040

RHIANNON THOMAS

Occupational Therapist

100 E FERGUSON ST
TYLER, TX 75702

Smith County (903) 509-2040

CHARLES MICHAEL JOHNSTON PT

Physical Therapist

100 E FERGUSON ST, SUITE 1204
TYLER, TX 75702

Smith County (903) 509-2040

ALLISON DAWN SCHAACK OTA

Occupational Therapy Assistant

100 E FERGUSON ST
TYLER, TX 75702

Smith County (903) 509-2040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Mirise's NPI number?

The NPI number for Amanda Mirise is 1497566624. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Where is Amanda Mirise located?

Amanda Mirise practices at 100 E Ferguson St, Tyler, TX 75702. The listed phone number is (903) 509-2040.

What is Amanda Mirise's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Amanda Mirise was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.