Hayzquel Coromoto Hernandez Casanova, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605316 Issued in VA

Practice address

7120 Braddock Rd
Annandale, VA 22003-6007

Phone

(703) 256-9770

NPI assigned

Dec 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Hayzquel Coromoto Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1841959913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 JOHN ADAMS CT APT 102",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036579",
            "telephone_number": "804-247-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 BRADDOCK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036007",
            "telephone_number": "703-256-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CASANOVA",
        "first_name": "HAYZQUEL",
        "middle_name": "COROMOTO",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYZQUEL",
            "last_name": "SMITH",
            "middle_name": "COROMOTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonnel Hector, LCMFT
• Vanessa G Heim, LPC
• Omar Farouk Helal, PHD
• Courtney L Helsing, MS, CCC-SLP
• Won Heo
• Mary Beth Herrity, P.T.
• Terry Langhaus Herrmann, M.A., CCC-SLP
• Rebecca Higgs
• Lynda D Hill, OTD, OTR/L
• Melinda Hill

• Physical Therapy Assistant in Annandale, VA
• Providers in Annandale, VA by specialty
• Physical Therapy Assistant in Virginia

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