MEDICARE: MARIAH ROSE ZUBIATE DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1669309472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAH ROSE ZUBIATE DPT

Provider Business Mailing Address
First Line	:	413 LANDING RIDGE DR APT 1036
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-1461
Country	:	US
Telephone Number	:	806-382-2347
Fax Number	:

Provider Business Practice Location Address
First Line	:	3930 GLADE RD STE 124
Second Line	:
City	:	COLLEYVILLE
State	:	TX
Zip	:	76034-5932
Country	:	US
Telephone Number	:	817-886-3783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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