Active NPI
Laura M Prado, PTA
- Physical Therapy Assistant
- Laredo, TX
National Provider Identifier
1619537404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2089753
- Practice address
- 1710 E Saunders St
Laredo, TX 78041-5443 - Phone
- (956) 795-8275
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2089753 | TX | Primary |
Addresses
Primary practice location
1710 E Saunders St
Laredo, TX 78041-5443
Mailing address
202 Pin Oak St
Laredo, TX 78043-5063
Phone (956) 236-9436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089753 | Other | TX | PHYSICAL THERAPY ASSISTANT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Laptop | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2089753 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1619537404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 PIN OAK ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780435063",
"telephone_number": "956-236-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 E SAUNDERS ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415443",
"telephone_number": "956-795-8275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADO",
"first_name": "LAURA",
"middle_name": "M",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2089753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY ASSISTANT LICENSE",
"identifier": "2089753",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Laptop",
"affiliation": "N",
"endpointDescription": "Company laptop",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "None",
"address_1": "1200 E Lane St",
"city": "Laredo",
"state": "TX",
"country_code": "US",
"postal_code": "780407210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.