Individual provider Active NPI

Karla Marina De la Rosa, DPT

  • Physical Therapist
  • Laredo, TX
National Provider Identifier
1760152433
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1307409 Issued in TX
Practice address
2110 Lomas del Sur Ste 114
Laredo, TX 78046-5751
Phone
(956) 712-9111
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

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
1307409TXMDPhysical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1307409 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

2110 Lomas del Sur Ste 114
Laredo, TX 78046-5751

Mailing address

2110 Lomas del Sur Ste 114
Laredo, TX 78046-5751
Phone (956) 712-9111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 15, 2021.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1760152433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LOMAS DEL SUR STE 114",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780465751",
            "telephone_number": "956-712-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 LOMAS DEL SUR STE 114",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780465751",
            "telephone_number": "956-712-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "KARLA",
        "middle_name": "MARINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1307409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 15, 2021; 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.