Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariah Bertrand

Individual provider Physical Therapist · NPI 1053018440

Mariah Bertrand is a Physical Therapist in Private Practice in Rockwall, Texas. Qualified in 2022, 4 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2268 N Lake Shore Dr Ste 106
Rockwall, TX 75087-0280
Phone: (972) 979-6577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10767 Carol Lynn Rd, Denham Springs, LA 70726-1665 — (866) 370-8206

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence 1383320 (TX)

Record details

NPI number1053018440
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2023
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockwall