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

NPI Status: Active since January 16, 2025

Contact Information

100 E FERGUSON ST
TYLER, TX
ZIP 75702
Phone: (903) 509-2040

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  • Individual
  • Female
  • Physical Therapist
  • Pediatrics

About AMANDA MIRISE

This page provides the complete NPI Profile along with additional information for Amanda Mirise, a provider established in Tyler, Texas with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1497566624 assigned on January 2025. The practitioner's primary taxonomy code is 2251P0200X with license number 1401088 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1497566624
Provider Name
AMANDA KRISTAN MIRISE DPT
Gender
Female
Entity Type
Individual
Location Address
100 E FERGUSON ST TYLER, TX 75702
Location Phone
(903) 509-2040
Mailing Address
100 E FERGUSON ST TYLER, TX 75702
Is Sole Proprietor?
Yes
Enumeration Date
01-16-2025
Last Update Date
01-16-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Pediatrics

Taxonomy Code
2251P0200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
1401088
License State
TX
Taxonomy Description
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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497566624, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 5 → 10 → 1 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 1 + 0 + 6 + 1 + 2 + 6 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1497566624.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Physical Therapy Assistant
100 E FERGUSON ST
TYLER, TX 75702
Speech-Language Pathologist
100 E FERGUSON ST, SUITE 1204
TYLER, TX 75702
Physical Therapist (Pediatrics)
100 E FERGUSON ST, SUITE 1204
TYLER, TX 75702
Occupational Therapist
100 E FERGUSON ST
TYLER, TX 75702
Occupational Therapy Assistant
100 E FERGUSON ST, 1204
TYLER, TX 75702
Speech-Language Pathologist
100 E FERGUSON ST, STE 1204
TYLER, TX 75702
Speech-Language Pathologist
100 E FERGUSON ST, STE 1204
TYLER, TX 75702
Physical Therapist
100 E FERGUSON ST, SUITE 1204
TYLER, TX 75702
Occupational Therapist (Pediatrics)
100 E FERGUSON ST, SUITE 1204
TYLER, TX 75702
Speech-Language Pathologist
100 E FERGUSON ST, SUITE 1204
TYLER, TX 75702
Occupational Therapy Assistant
100 E FERGUSON ST
TYLER, TX 75702
Speech-Language Pathologist
100 E FERGUSON ST
TYLER, TX 75702
Speech-Language Pathologist
100 E FERGUSON ST, UNIT 1204
TYLER, TX 75702
Physical Therapist
100 E FERGUSON ST, SUITE 1204
TYLER, TX 75702
Occupational Therapy Assistant
100 E FERGUSON ST
TYLER, TX 75702
Occupational Therapy Assistant
100 E FERGUSON ST
TYLER, TX 75702
Speech-Language Pathologist
100 E FERGUSON ST
TYLER, TX 75702
Occupational Therapy Assistant
100 E FERGUSON ST
TYLER, TX 75702
Speech-Language Pathologist
100 E FERGUSON ST
TYLER, TX 75702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497566624, enumerated as an "individual" on January 16, 2025.

The provider is located at 100 E FERGUSON ST TYLER, TX 75702 and the phone number is (903) 509-2040.

Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.