Leticia Kirkconnell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2008553 Issued in TX

Practice address

43 Alvarado Ave
Rancho Viejo, TX 78575-9502

Phone

(956) 266-5353

NPI assigned

Dec 26, 2008

Last updated

Dec 26, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230249600000",
    "number": "1588800460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 ALVARADO AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759502",
            "telephone_number": "956-266-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 ALVARADO AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759502",
            "telephone_number": "956-266-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKCONNELL",
        "first_name": "LETICIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2008553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Rancho Viejo, TX
• Providers in Rancho Viejo, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.