Individual provider Active NPI

Ronalen Labiscase Jalandoni Thaler, PTA, PT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1881095982
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62038873 Issued in NY
Practice address
658 Laveta Ter
Los Angeles, CA 90026-4304
Phone
(310) 880-5103
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT10503 CA
Physical Therapy Assistant 225200000X 009268 NY
Physical Therapist 225100000X 62038873 NY Primary

Addresses

Primary practice location

658 Laveta Ter
Los Angeles, CA 90026-4304

Mailing address

658 Laveta Ter
Los Angeles, CA 90026-4304
Phone (310) 880-5103

Other identifiers 1

IdentifierTypeStateIssuer
F2505916OtherCACA ID

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
009268NYMDRegistered Dietitian
62038873NYMDPhysical Therapist
AT10503CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1881095982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 LAVETA TER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264304",
            "telephone_number": "310-880-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 LAVETA TER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264304",
            "telephone_number": "310-880-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALANDONI THALER",
        "first_name": "RONALEN",
        "middle_name": "LABISCASE",
        "credential": "PTA, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT10503",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009268",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62038873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA ID",
            "identifier": "F2505916",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.