Individual provider Active NPI

Laura Perez Massague, PTA

  • Physical Therapy Assistant
  • Pasadena, TX
National Provider Identifier
1366033227
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
3333 Bayshore Blvd Ste 340
Pasadena, TX 77504-1960
Phone
(713) 910-5437
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

3333 Bayshore Blvd Ste 340
Pasadena, TX 77504-1960

Mailing address

3333 Bayshore Blvd Ste 340
Pasadena, TX 77504-1960

Other identifiers 1

IdentifierTypeStateIssuer
393447131MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lpmassague@yahoo.es

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kids DC, LLC PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 1

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1366033227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BAYSHORE BLVD STE 340",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BAYSHORE BLVD STE 340",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041960",
            "telephone_number": "713-910-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MASSAGUE",
        "first_name": "LAURA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393447131",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpmassague@yahoo.es",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "3333 Bayshore Blvd Ste 340",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775041960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.