Laisa Milagros Leon Hidalgo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

60933077 Issued in WA

Practice address

13410 Highway 99 Ste 204
Everett, WA 98204-5454

Phone

(425) 742-7300

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlas Physical Therapy & Industrial Rehabilitation PLLC

  • Physical Therapy Clinic/Center
  • Everett, WA
  • NPI 1174945224
  NPD

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1518561604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982700504",
            "telephone_number": "425-268-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 HIGHWAY 99 STE 204",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045454",
            "telephone_number": "425-742-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON HIDALGO",
        "first_name": "LAISA",
        "middle_name": "MILAGROS",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60933077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Marie Lemaster
• Rachel Lemesurier
• Carol Lyn Lemmon, BA, MA OF COUNSELING
• Jaclyn Lemon
• Ariel A Lenning, OD
• Salvatore Anthony Leone, DDS
• Edward Leong, AAC
• Brittney Rihana Leque
• Gregory B Lerner, MHCA
• Christiane Edith Leske, BSN, AAC

• Physical Therapy Assistant in Everett, WA
• Providers in Everett, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.