Anjelique Via Liles, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04118 Issued in LA

Practice address

2601 Ferrand St
Monroe, LA 71201-3212

Phone

(318) 387-4973

Fax

(318) 322-4093

NPI assigned

May 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Therapy Incorporated

  • Physical Therapy Clinic/Center
  • Monroe, LA
  • NPI 1942267018
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1194782276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 FERRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013212",
            "telephone_number": "318-387-4973",
            "fax_number": "318-322-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FERRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013212",
            "telephone_number": "318-387-4973",
            "fax_number": "318-322-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "ANJELIQUE",
        "middle_name": "VIA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Elevated Therapeutic Services
• Life Management Consultants
• Lifecare Hospice, LLC
• Lifestyle Changes and Consulting, LLC
• Lifeway Pharmacy, LLC
• Arthur E Liles, MD
• Douglas Nelson Liles, M.D.
• William B Liles, M.D.
• Lincare Inc
• Joanna Lincecum, LPC

• Physical Therapist in Monroe, LA
• Providers in Monroe, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.