Healthcare Provider Details

I. General information

NPI: 1952136137
Provider Name (Legal Business Name): RIFA MAKNOJIA PT, BPT, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 S SHEPHERD DR STE 100
HOUSTON TX
77019-7025
US

IV. Provider business mailing address

2323 S SHEPHERD DR STE 100
HOUSTON TX
77019-7025
US

V. Phone/Fax

Practice location:
  • Phone: 832-377-5968
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number050044
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1400821
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: