Active NPI
Lily Taing
- Physical Therapy Assistant
- Rosemead, CA
National Provider Identifier
1194004820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5878
- Practice address
- 3409 Bartlett Ave
Rosemead, CA 91770-2733 - Phone
- (626) 202-5684
- NPI assigned
- Aug 11, 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 | 5878 | CA | Primary |
Addresses
Primary practice location
3409 Bartlett Ave
Rosemead, CA 91770-2733
Mailing address
3409 Bartlett Ave
Rosemead, CA 91770-2733
Phone (626) 202-5684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5878 | Medicaid | CA |
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 |
|---|---|---|---|
| 5878 | CA | MD | Feeding, Eating & Swallowing Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1194004820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 BARTLETT AVE",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917702733",
"telephone_number": "626-202-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 BARTLETT AVE",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917702733",
"telephone_number": "626-202-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAING",
"first_name": "LILY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "5878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5878",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.