IndividualActive
Marissa Maiwelmal, PTA
NPI 1962980938 · Physical Therapy Assistant · Lone Oak, TX
Provider details
- NPI number
- 1962980938
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2127201 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3801 County Road 3401
Lone Oak, TX 75453-4143
Phone: (903) 456-5323
Street-level locationGet directions
Mailing address
3801 County Road 3401
Lone Oak, TX 75453-4143
Additional practice locations (1)
- 406 S Main StWinnsboro, TX 75494-3226Phone: (903) 342-6790
Registry dates
- Enumerated
- 2018-08-01
- Last updated
- 2018-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.