Individual provider Active NPI

La Tonya A Field-Mackall, PTA, BS

  • Physical Therapy Assistant
  • Houston, TX
National Provider Identifier
1710664768
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2172109 Issued in TX
Practice address
9940 W Sam Houston Pkwy S Ste 320
Houston, TX 77099-5305
Phone
(832) 300-2626
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2172109 TX Primary

Addresses

Primary practice location

9940 W Sam Houston Pkwy S Ste 320
Houston, TX 77099-5305

Mailing address

16326 Beretta CT
Missouri City, TX 77489-5320
Phone (915) 777-2846

Other names 1

  • La Tonya A Williams Former name

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
2172109TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1710664768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16326 BERETTA CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895320",
            "telephone_number": "915-777-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 W SAM HOUSTON PKWY S STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770995305",
            "telephone_number": "832-300-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELD-MACKALL",
        "first_name": "LA TONYA",
        "middle_name": "A",
        "credential": "PTA, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2172109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA TONYA",
            "last_name": "WILLIAMS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

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

Verify at the official NPI Registry.