MEDICARE: ATHENA FARAHANI

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	1041069	TX

General Provider Information

NPI Number	:	1710865621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATHENA FARAHANI

Provider Business Mailing Address
First Line	:	4201 CYPRESS CREEK PKWY STE 565
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3498
Country	:	US
Telephone Number	:	832-680-6084
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 CYPRESS CREEK PKWY STE 565
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3498
Country	:	US
Telephone Number	:	832-680-6084
Fax Number	:	832-747-7552

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

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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Directions to “ ATHENA FARAHANI ” Practice Location

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