Active NPI
Lesley Elliott
- Physical Therapy Assistant
- Alhambra, CA
National Provider Identifier
1073801221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8003
- Practice address
- 930 N Monterey St
Apt.232
Alhambra, CA 91801-1565 - Phone
- (909) 496-0728
- NPI assigned
- Jul 20, 2011
- 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 Therapy Assistant | 225200000X | 8003 | CA | Primary |
Addresses
Primary practice location
930 N Monterey St
Apt.232
Alhambra, CA 91801-1565
Mailing address
930 N Monterey St
Apt.232
Alhambra, CA 91801-1565
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 |
|---|---|---|---|
| 8003 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1073801221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 N MONTEREY ST",
"address_2": "APT.232",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918011565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 N MONTEREY ST",
"address_2": "APT.232",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918011565",
"telephone_number": "909-496-0728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "LESLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "8003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
- Edinburg Management Associates Inc (Royal Garden Extended Care Hospital)
- Edmund Lo MD Inc
- Edward M. Lai., a Medical Corporation
- Elegant Bee Health Consultation Inc
- Elitecare Surgical Group, Inc
- Luz Mayela Ellsworth, BCBA
- Nathaniel Lawrence Ely
- Enhanced Care Management
- Enki Health and Research Systems, Inc.
- Eric Wong Chiropractic, PC (Envitae Health Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.