Mariah Bertrand is one of 14 physical therapists practicing in Grand Prairie, Texas .
Mariah Bertrand practices with Ideal Physical Therapy Of Texas LLC.
Registry record (NPPES)
NPI
1053018440
Type
Type 1 · Individual
Primary taxonomy
Physical Therapist · 225100000X
Address on file
2268 N Lake Shore Dr Ste 106
Enumerated
Feb 15, 2023
Record last updated
Jun 20, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in NM, TXPhysical Therapist in Private Practice
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2360 W Camp Wisdom Rd Suite 140Grand Prairie , TX 75052
More physical therapists in Grand Prairie
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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