Melissa De la Torre, 2084180
Individual provider Active NPI Physical Therapy Assistant · Laredo, TX
NPI 1720529050 · NPPES record last updated Mar 20, 2017
Key facts
- NPI
- 1720529050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2084180 (TX)
- Practice address
- 1505 Calle del Norte Ste 440
Laredo, TX 78041-6040 - Phone
- (956) 722-6221
- Fax
- (956) 722-6275
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2084180 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pyra Med Health Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2084180 | TX | Yes |
Addresses
Primary practice location
1505 Calle del Norte Ste 440
Laredo, TX 78041-6040
Mailing address
1505 Calle del Norte Ste 440
Laredo, TX 78041-6040
Phone (956) 722-6221
Other providers in Laredo, TX
- Norma A. De la Fuente
- Triana Y De la Garza
- Karla Marina De la Rosa
- Mario De la Rosa Jr.
- Isabel P De la Torre
- Ramon De la Torre
- Armando De Leon
- Azeneth De Leon
- Jose A De Leon Jr.
- Justin De Leon
All providers in Laredo, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.