Individual provider Active NPI

Laura Christine Tallent, LPTA

  • Physical Therapy Assistant
  • Whitesboro, TX
National Provider Identifier
1285908418
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2115823 Issued in TX
Practice address
1204 Sherman Dr
Whitesboro, TX 76273
Phone
(940) 564-7900
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 23105 FL
Physical Therapy Assistant 225200000X 2115823 TX Primary

Addresses

Primary practice location

1204 Sherman Dr
Whitesboro, TX 76273

Mailing address

210 S Ray Roberts Pkwy
Tioga, TX 76271-3527
Phone (469) 951-0270

Other practice location 1

1525 International Pkwy
Heathrow, FL 32746-7644
Phone (800) 798-6035

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
PTA 23105FLMDPhysical Therapy Assistant
2115823TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1285908418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S RAY ROBERTS PKWY",
            "city": "TIOGA",
            "state": "TX",
            "postal_code": "762713527",
            "telephone_number": "469-951-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 SHERMAN DR",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "76273",
            "telephone_number": "940-564-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 International Pkwy",
            "address_purpose": "LOCATION",
            "city": "Heathrow",
            "state": "FL",
            "postal_code": "327467644",
            "country_code": "US",
            "telephone_number": "800-798-6035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLENT",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 23105",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2115823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.