Jarelin Lizeth Malagon Lara

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA33553 Issued in FL

Practice address

2864 Wellness Ave Ste 100
Orange City, FL 32763-8335

Phone

(386) 575-4027

Fax

(386) 575-4028

NPI assigned

Aug 6, 2024

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1548090251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 TIPTON RD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073628",
            "telephone_number": "407-486-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638335",
            "telephone_number": "386-575-4027",
            "fax_number": "386-575-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAGON LARA",
        "first_name": "JARELIN",
        "middle_name": "LIZETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA33553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shimara Mackey
• Jatea Monet Maddox, PHARM. D.
• Keren Madriz
• Michael John Magee, M.D.
• Main Street Children'S Dentistry and Orthodontics of Orange City, P.a.
• Jocelyn Malagon
• Ramy Malak
• Jeann Marie Maldonado Cintron, M.D.
• Mallick OBGYN LLC
• Kori J Malouin, BCO, BADO

• Physical Therapy Assistant in Orange City, FL
• Providers in Orange City, FL by specialty
• Physical Therapy Assistant in Florida

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