Justin De Leon

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2149534 Issued in TX

Practice address

2110 Lomas del Sur Ste 114
Laredo, TX 78046-5751

Phone

(956) 712-9111

NPI assigned

Jan 11, 2024

Last updated

Jan 11, 2024By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1386415149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 IRIS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456581",
            "telephone_number": "956-794-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 LOMAS DEL SUR STE 114",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780465751",
            "telephone_number": "956-712-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2149534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa De la Torre, 2084180
• Ramon De la Torre, MD
• Armando De Leon
• Azeneth De Leon, DDS
• Jose A De Leon Jr., LSA
• Angelica De Los Santos
• De Lujo Adult Day Care LTD
• Sanjuanita De Luna, LMSW-IPR
• Maria Alicia De Santos
• Luis Pedro Decker Jr., FNP

• Physical Therapy Assistant in Laredo, TX
• Providers in Laredo, 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 Jan 11, 2024; 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.