Vashtic Amma-Lesrine, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1079770 Issued in TX

Practice address

2109 Williamsburg CT N
League City, TX 77573-5044

Phone

(877) 427-9242

NPI assigned

Sep 29, 2008

Last updated

Dec 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Body Logic Incorporated

  • Rehabilitation Chiropractor
  • League City, TX
  • NPI 1053460493
  NPD (past)
• Body Logic Incorporated

  • Physical Therapist
  • League City, TX
  • NPI 1326226374
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1356591176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 WILLIAMSBURG CT N",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735044",
            "telephone_number": "877-427-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 WILLIAMSBURG CT N",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735044",
            "telephone_number": "877-427-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMA-LESRINE",
        "first_name": "VASHTIC",
        "name_prefix": "Dr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1079770",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "4863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Elizabeth Waritz Alton, N.P.
• Raquel Linda Alva
• Amanda G Hoover, DDS, PC (The Lakes Dental Center)
• Amandole HCS, LLC
• American Oncology Partners, P.a.
• Krishna Kumar Anand
• Angelique Rose Andaverde, MA
• Anderson Guderian Medical Association (Calder Urgent Care)
• Aimee Roulaine Anderson, LMFT
• Jenelle Marie Anderson, LPC

• Physical Therapist in League City, TX
• Providers in League City, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.