Individual provider Active NPI

Aleli Ramiscal Lamyaithong, RPT

  • Physical Therapist
  • Man, WV
National Provider Identifier
1003952748
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000793 Issued in WV
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7302248-000MedicaidWV
001711895OtherWVBCBS

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

LicenseStateTypeSpecialty
000793WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Rehab Centers, Inc. Physical Therapist PastSince Feb 28, 2026 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

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.

Verify at the official NPI Registry.