Individual provider Active NPI

Lloyd Justine Perez Dela Cruz, PT

  • Physical Therapist
  • Harlingen, TX
National Provider Identifier
1255072328
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1274541 Issued in TX
Practice address
2117 E Tyler Ave Ste B
Harlingen, TX 78550-7212
Phone
(956) 440-0580
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1274541 TX Primary

Addresses

Primary practice location

2117 E Tyler Ave Ste B
Harlingen, TX 78550-7212

Mailing address

2117 E Tyler Ave Ste B
Harlingen, TX 78550-7212
Phone (956) 440-0580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507004393 TX Practitioner - Physical Therapist in Private Practice 5597106658 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Med Denton LLCGroup PAC ID 9638144439, 9 clinicians

Practice addresses (Care Compare)

2318 San Jacinto Blvd
Suite 108
Denton, TX 76205-7535
Phone (940) 380-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1274541TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Action Inc Physical Therapist CurrentSince Apr 10, 2024 Accepting new patients
Synergy Outpatient Therapy Services LLC Physical Therapist CurrentSince Apr 10, 2024 Accepting new patients
Mercy Rehab Services Inc. Past Accepting new patients
Mercy Rehab Services Inc Physical Therapist Past Accepting new patients
Del Rio Therapy, P.C. Physical Therapist Past Accepting new patients

Locations

435 Paredes Line Rd
#A
Brownsville, TX 78521
Phone (956) 544-4500

1801 N Ed Carey Dr
Ste C
Harlingen, TX 78550
Phone (956) 428-8951

Organizations & group practices 8

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1255072328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 E TYLER AVE STE B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507212",
            "telephone_number": "956-440-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 E TYLER AVE STE B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507212",
            "telephone_number": "956-440-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "LLOYD JUSTINE",
        "middle_name": "PEREZ",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1274541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.