Elizabeth Marie Dumont, PTA
Individual provider Active NPI Physical Therapy Assistant · La Joya, TX
NPI 1306148804 · NPPES record last updated Dec 3, 2010
Key facts
- NPI
- 1306148804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502002957 (MI)
- Practice address
- 844 E Expressway 83
La Joya, TX 78560-4178 - Phone
- (956) 688-6969
- NPI assigned
- Dec 3, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502002957 | MI | MD | Physical Therapy Assistant |
| 2079632 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidiatric Therapy Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502002957 | MI | Yes |
| Physical Therapy Assistant | 225200000X | 2079632 | TX | |
| Massage Therapist | 225700000X |
Addresses
Primary practice location
844 E Expressway 83
La Joya, TX 78560-4178
Mailing address
1113 Sunnyside Dr
Cadillac, MI 49601-8736
Phone (231) 492-2088
Other providers in La Joya, TX
- Matthew Marco Benavides
- Best- Beyond Expectations Speech Therapy
- Reynaldo Cardenas III
- City of la Joya
- Desi Canals MD PA
- El Diamante PHC, LLC
- Nori L Garcia
- Hector Garza
- Leanna Nicole Garza
- Romualdo Garza
All providers in La Joya, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.