Lidiyana Ples Jones, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5667 Issued in MD

Practice address

12158 Central Ave
Mitchellville, MD 20721-1932

Phone

(301) 390-3076

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1003670837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 BRICKYARD BLVD APT 4071",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051654",
            "telephone_number": "724-970-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12158 CENTRAL AVE",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211932",
            "telephone_number": "301-390-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LIDIYANA",
        "middle_name": "PLES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Issa Yusuf MD PA
• David Izebere II
• J.D. Ahren Home Healthcare Advantage
• Desmond Fritzroy Johnson, MD.
• Charity Rebekah Jones, LGPC
• Destiny Kimble
• Lucy Koroma, RN, MSN-BSN
• Alice Kreisle, AU.D.
• Rebecca Krysiak
• Lake Arbor Dental Associates

• Physical Therapy Assistant in Mitchellville, MD
• Providers in Mitchellville, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.