Nahuel Lizardia

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

5000 Western Center Blvd Ste 220
Fort Worth, TX 76137

Phone

(817) 514-0519

NPI assigned

Aug 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1376154724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WESTERN CENTER BLVD STE 220",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WESTERN CENTER BLVD STE 220",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-514-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDIA",
        "first_name": "NAHUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Hope Counseling
• Living Quality Moments Inc.
• Ellie Livingston, MS, RD, LD
• Thomas S Livingston, MD
• Keith Shilling Livingstone, MD
• Kaitlyn Callaghan Lizardo, MD
• Siomara Natalie Lizarraga
• Lori Leann Llera, CPNP
• Christina Lloret, SLP-INTERN
• Lisa Lloyd, RDN, LD

• Physical Therapy Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.