Active NPI
Ralardo Mejias Labrador, LPTA
- Physical Therapy Assistant
- Tyler, TX
National Provider Identifier
1235771825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2145433
- Practice address
- 7363 Kingsport LN
Tyler, TX 75703-7495 - Phone
- (240) 308-3636
- NPI assigned
- Oct 15, 2019
- Last updated
- Oct 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 2145433 | TX | Primary |
Addresses
Primary practice location
7363 Kingsport LN
Tyler, TX 75703-7495
Mailing address
7363 Kingsport LN
Tyler, TX 75703-7495
Phone (240) 308-3636
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 |
|---|---|---|---|
| 2145433 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1235771825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7363 KINGSPORT LN",
"city": "TYLER",
"state": "TX",
"postal_code": "757037495",
"telephone_number": "240-308-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7363 KINGSPORT LN",
"city": "TYLER",
"state": "TX",
"postal_code": "757037495",
"telephone_number": "240-308-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABRADOR",
"first_name": "RALARDO",
"middle_name": "MEJIAS",
"name_prefix": "Mr.",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2145433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.