Individual provider Active NPI

Leonila P Quimen, PT

  • Physical Therapist
  • Alhambra, CA
National Provider Identifier
1073792347
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16156 Issued in CA
Practice address
600 W Main St
Suite 107
Alhambra, CA 91801-3300
Phone
(626) 642-0363
NPI assigned
Nov 2, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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 PT16156 CA Primary

Addresses

Primary practice location

600 W Main St
Suite 107
Alhambra, CA 91801-3300

Mailing address

1519 Cobre CT
La Puente, CA 91744-1240
Phone (626) 818-0886

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16156CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Aloha Physical Therapy Center Inc Physical Therapist Past Accepting new patients
Leadquest Therapy Group Past Accepting new patients
Leadquest Therapy Group Inc Physical Therapist PastSince Aug 16, 2009 Accepting new patients
Crystal Acupuncture Center Inc Past Accepting new patients

Organizations & group practices 4

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1073792347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 COBRE CT",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441240",
            "telephone_number": "626-818-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W MAIN ST",
            "address_2": "SUITE 107",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013300",
            "telephone_number": "626-642-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIMEN",
        "first_name": "LEONILA",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.