Active NPI
Lady Viado
- Physical Therapist
- West Covina, CA
National Provider Identifier
1922473024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28457
- Practice address
- 1301 W Merced Ave
West Covina, CA 91790-3904 - Phone
- (626) 512-5033
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28457 | CA | Primary |
Addresses
Primary practice location
1301 W Merced Ave
West Covina, CA 91790-3904
Mailing address
1301 W Merced Ave
West Covina, CA 91790-3904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8946 | Other | CA | LAST NUMBER OF SSN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28457 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Medical Group & Athletic Rehabilitation Center, Inc | Past | Accepting new patients | |
| Orthopaedic Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1174683643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1922473024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W MERCED AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W MERCED AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903904",
"telephone_number": "626-512-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIADO",
"first_name": "LADY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAST NUMBER OF SSN",
"identifier": "8946",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.