Physician Compare National (NPI:1982250908)

HEALTHCARE PROVIDER: MARIAM KHANSA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1982250908
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830429679
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190923000402
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHANSA
	Individual professional last name
Provider First Name	MARIAM
	Individual professional first name
Provider Middle Name	JASMINE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	TEXAS PHYSICAL THERAPY SPECIALISTS
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2567422538
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	121
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	711 W 38TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C 11
	Group Practice or individual's line 2 address
City	AUSTIN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	787051137
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5123023922
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y