Active NPI
Liezl Sorianosos Arricivita, RPT, PTA
- Physical Therapist
- Lemoore, CA
National Provider Identifier
1114230950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33949
- Practice address
- 682 Avalon Dr
Lemoore, CA 93245-4382 - Phone
- (559) 978-8091
- NPI assigned
- Jul 21, 2010
- Last updated
- Jul 21, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33949 | CA | Primary |
| Physical Therapy Assistant | 225200000X | AT8121 | CA |
Addresses
Primary practice location
682 Avalon Dr
Lemoore, CA 93245-4382
Mailing address
682 Avalon Dr
Lemoore, CA 93245-4382
Phone (559) 978-8091
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 |
|---|---|---|---|
| AT8121 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1114230950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 AVALON DR",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932454382",
"telephone_number": "559-978-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 AVALON DR",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932454382",
"telephone_number": "559-978-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARRICIVITA",
"first_name": "LIEZL",
"middle_name": "SORIANOSOS",
"credential": "RPT, PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33949",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT8121",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lemoore, CA
- Paul Anthony Andre, O.D.
- Aria Community Health Center
- Aria Community Health Center (Aria Community Health Center Mobile 3)
- Aria Community Health Center (Aria Community Health Center Lemoore 209)
- Aria Community Health Center
- Scott J Ashby, M.D.
- Victor Hugo Auld
- Avenal Community Health Center (Aria Community Health Center)
- Samantha Crystal Avila
- Denise R Ayala, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.