Mier Sun Lastra, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1272953 Issued in TX

Practice address

9922 State Highway 151
San Antonio, TX 78251

Phone

(210) 572-9821

NPI assigned

Aug 19, 2015

Last updated

Aug 17, 2018By the provider in NPPES

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

Other names 1

• Miss Mier Canoy Sun Former name

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1578939997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 HUMMINGBIRD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454471",
            "telephone_number": "713-377-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-572-9821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 Hummingbird",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782454471",
            "country_code": "US",
            "telephone_number": "713-377-8981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASTRA",
        "first_name": "MIER",
        "middle_name": "SUN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1272953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIER",
            "last_name": "SUN",
            "middle_name": "CANOY",
            "prefix": "MISS",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Michelle Lassen, LCSW
• Matthew Lassiter, LSA
• Kimberly Sue Lasswell, P.A.
• Shannon Brookes Lasswell, MA, CCC-SLP
• Manuel Ray Lastra-Cruz
• Stephen McAlpine Laswell
• Asmabanu Lat, PHARMD
• Dylan Later, DO
• Paula Jeanne Latham Phillips, MD
• Alyssa Latham, M.A., BCBA, LBA

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.