Active NPI
Aleli Ramiscal Lamyaithong, RPT
- Physical Therapist
- Man, WV
National Provider Identifier
1003952748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 000793
- Practice address
- 125C Main St
Man, WV 25635-1211 - Phone
- (304) 583-8808
- Fax
- (304) 583-8809
- NPI assigned
- Jan 29, 2007
- Last updated
- Jun 7, 2010
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 000793 | WV | Primary |
Addresses
Primary practice location
125C Main St
Man, WV 25635-1211
Mailing address
302 W McDonald Ave
Man, WV 25635-1115
Phone (304) 583-2608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7302248-000 | Medicaid | WV | |
| 001711895 | Other | WV | BCBS |
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 |
|---|---|---|---|
| 000793 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Rehab Centers, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1003952748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W MCDONALD AVE",
"city": "MAN",
"state": "WV",
"postal_code": "256351115",
"telephone_number": "304-583-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125C MAIN ST",
"city": "MAN",
"state": "WV",
"postal_code": "256351211",
"telephone_number": "304-583-8808",
"fax_number": "304-583-8809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMYAITHONG",
"first_name": "ALELI",
"middle_name": "RAMISCAL",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "000793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7302248-000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001711895",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Man, WV
- Cassandra Imes
- Morgan P Johnson
- Erica Morgan Knowles, PHARM.D.
- Sherri L Lamb
- Allison Lambert
- Baylee Lawson
- Lincoln County Primary Care Center Inc (Southern West Virginia Health System-Man)
- Lincoln County Primary Care Center, Inc (Pioneer Health Center)
- Lincoln County Primary Care Center, Inc.
- Man Rexcellence Program
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.