Individual provider Active NPI

Mary Lashua

  • Physical Therapy Assistant
  • Waco, TX
National Provider Identifier
1720622590
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2028694 Issued in TX
Practice address
10801 Hiawatha Dr
Waco, TX 76712-8302
Phone
(254) 717-5471
NPI assigned
Nov 4, 2019
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 2028694 TX Primary

Addresses

Primary practice location

10801 Hiawatha Dr
Waco, TX 76712-8302

Mailing address

10801 Hiawatha Dr
Waco, TX 76712-8302

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://heartoftexastherapy.com/

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

LicenseStateTypeSpecialty
2028694TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1720622590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 HIAWATHA DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 HIAWATHA DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128302",
            "telephone_number": "254-717-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHUA",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2028694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://heartoftexastherapy.com/",
            "affiliation": "N",
            "address_1": "10801 Hiawatha Dr",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767128302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.