Individual provider Active NPI

Leidy Alaffa, PTA

  • Physical Therapy Assistant
  • Rio Grande City, TX
National Provider Identifier
1235618323
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2105162 Issued in TX
Practice address
5346 E US Highway 83
Rio Grande City, TX 78582-9471
Phone
(956) 317-1282
Fax
(956) 317-1291
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 2105162 TX Primary

Addresses

Primary practice location

5346 E US Highway 83
Rio Grande City, TX 78582-9471

Mailing address

505 Sullivan City Dr.
Sullivan, TX 78582
Phone (956) 483-9915

Other practice location 1

3346 W US Highway 83
Rio Grande City, TX 78582-6252
Phone (956) 352-1302

Other practice location 2

6 W Lincoln Avenue
Roma, TX 78584-7858
Phone (956) 847-4209

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

LicenseStateTypeSpecialty
2105162TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Rehab for Children, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1235618323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SULLIVAN CITY DR.",
            "city": "SULLIVAN",
            "state": "TX",
            "postal_code": "78582",
            "telephone_number": "956-483-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 E US HIGHWAY 83",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829471",
            "telephone_number": "956-317-1282",
            "fax_number": "956-317-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3346 W US Highway 83",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785826252",
            "country_code": "US",
            "telephone_number": "956-352-1302",
            "fax_number": "956-352-1303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 W Lincoln Avenue",
            "address_purpose": "LOCATION",
            "city": "Roma",
            "state": "TX",
            "postal_code": "785847858",
            "country_code": "US",
            "telephone_number": "956-847-4209",
            "fax_number": "956-847-4332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAFFA",
        "first_name": "LEIDY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2105162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.