Active NPI
Tai Luong La, PTA
- Physical Therapy Assistant
- Brooklyn, NY
National Provider Identifier
1003387192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 010442
- Practice address
- 6010 Bay Pkwy
Brooklyn, NY 11204-6079 - Phone
- (718) 283-8962
- NPI assigned
- Dec 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 010442 | NY | Primary |
Addresses
Primary practice location
6010 Bay Pkwy
Brooklyn, NY 11204-6079
Mailing address
6010 Bay Parkway
Brooklyn, NY 11214
Phone (718) 283-8962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010442 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1003387192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 BAY PARKWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11214",
"telephone_number": "718-283-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 BAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112046079",
"telephone_number": "718-283-8962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA",
"first_name": "TAI",
"middle_name": "LUONG",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "010442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.