Individual provider Active NPI

Faye Valenzuela-Lao, PT

  • Pediatric Physical Therapist
  • Pearland, TX
National Provider Identifier
1760492433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1106391 Issued in TX
Practice address
8619 Broadway St
Suite 200
Pearland, TX 77584-8782
Phone
(281) 485-4818
Fax
(281) 485-5446
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1106391 TX Primary

Addresses

Primary practice location

8619 Broadway St
Suite 200
Pearland, TX 77584-8782

Mailing address

12308 Shady Brook Dr
Pearland, TX 77584-7803
Phone (713) 382-7421

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
1106391TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Spot PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760492433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12308 SHADY BROOK DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847803",
            "telephone_number": "713-382-7421",
            "fax_number": "281-485-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 BROADWAY ST",
            "address_2": "SUITE 200",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848782",
            "telephone_number": "281-485-4818",
            "fax_number": "281-485-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA-LAO",
        "first_name": "FAYE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1106391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.