Individual provider Active NPI

Laura Marisa Lucio, PT

  • Physical Therapist
  • Edinburg, TX
National Provider Identifier
1457741720
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1183357 Issued in TX
Practice address
4118 Pedernal St
Edinburg, TX 78542-1325
Phone
(214) 515-1325
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1183357 TX Primary

Addresses

Primary practice location

4118 Pedernal St
Edinburg, TX 78542-1325

Mailing address

459 Gilson Rd
Brownsville, TX 78520-9185
Phone (956) 266-3363

Other practice location 1

613 W Sesame Dr
Harlingen, TX 78550-7930
Phone (956) 399-4500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1183357TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1457741720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 GILSON RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209185",
            "telephone_number": "956-266-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 PEDERNAL ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421325",
            "telephone_number": "214-515-1325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 W Sesame Dr",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785507930",
            "country_code": "US",
            "telephone_number": "956-399-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "LAURA",
        "middle_name": "MARISA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1183357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.