NPI age
1 years
Enumerated 2025-01-16
● Active
Type 1 · Individual
Amanda Kristan Mirise, DPT
Mirise is 1 of 9 physical therapist providers in Tyler and 1 of 684 in Texas.
Primary specialty
Physical Therapist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 684 active physical therapist providers in Texas.
NPI age
1 years
↓ 9 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-01Enumerated in NPPES
2025
2026
Where they practice
Practice location
100 E Ferguson St
Tyler, TX 757025759
Mailing address
100 E Ferguson St
Tyler, TX 757025759
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
Practice context
Part of a multi-provider practice. 57 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.