Myrna I Laureano, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

00124 Issued in PR

Practice address

5TH Ave and Roosevelt Road
Physical Therapy Department 117G
Hines, IL 60641

Phone

(708) 202-8387

NPI assigned

Jun 10, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Myrna I Rivera Other 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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891736542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5TH AND ROOSEVELT ROAD",
            "address_2": "PHYSICAL THERAPY DEPARTMENT 117G",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60641",
            "telephone_number": "708-202-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH AVE AND ROOSEVELT ROAD",
            "address_2": "PHYSICAL THERAPY DEPARTMENT 117G",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60641",
            "telephone_number": "708-202-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREANO",
        "first_name": "MYRNA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PR",
            "license": "00124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRNA",
            "last_name": "RIVERA",
            "middle_name": "I",
            "prefix": "MRS.",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Paige Lassen, DO
• Brianna M Latjor, CTRS
• Marie Alexandra Latsa, PHARMD
• Mary Theresa Ellen Lau, RN, MS, APN
• Matthew Adam Laubscher, PHARMD
• John G. Lauritzen, LCSW
• Yvonne Lawrence-Hooper, RN
• John Leal
• Leo Leal
• Redentor Leano

• Physical Therapy Assistant in Hines, IL
• Providers in Hines, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.