Active NPI
Anna Lisa De Joya, PT, DSC, NCS
- Physical Therapy Clinic/Center
- Houston, TX
National Provider Identifier
1073124301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1106813
- Practice address
- 3739 Wakeforest St
Houston, TX 77098-5511 - Phone
- (713) 854-1120
- NPI assigned
- Aug 11, 2020
- Sex
- Female
- 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 Clinic/Center | 261QP2000X | 1106813 | TX | Primary |
Addresses
Primary practice location
3739 Wakeforest St
Houston, TX 77098-5511
Mailing address
3739 Wakeforest St
Houston, TX 77098-5511
Phone (713) 854-1120
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 |
|---|---|---|---|
| 1106813 | TX | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1073124301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3739 WAKEFOREST ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770985511",
"telephone_number": "713-854-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3739 WAKEFOREST ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770985511",
"telephone_number": "713-854-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JOYA",
"first_name": "ANNA",
"middle_name": "LISA",
"credential": "PT, DSC, NCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": "1106813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.