Individual provider Active NPI

Sergio Osiel Morales

  • Physical Therapy Assistant
  • Laredo, TX
National Provider Identifier
1427607829
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2132932 Issued in TX
Practice address
242 Wawi Tijerina Pkwy
Laredo, TX 78043-5168
Phone
(956) 722-6221
NPI assigned
Sep 9, 2019
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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 2132932 TX Primary

Addresses

Primary practice location

242 Wawi Tijerina Pkwy
Laredo, TX 78043-5168

Mailing address

242 Wawi Tijerina Pkwy
Laredo, TX 78043-5168
Phone (956) 722-6221

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL laredo

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

State licenses

LicenseStateTypeSpecialty
2132932TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1427607829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WAWI TIJERINA PKWY",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780435168",
            "telephone_number": "956-722-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WAWI TIJERINA PKWY",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780435168",
            "telephone_number": "956-722-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "SERGIO",
        "middle_name": "OSIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2132932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laredo",
            "affiliation": "N",
            "address_1": "242 Wawi Tijerina Pkwy",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780435168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.