Active NPI
Lexus Isom, LPTA
- Physical Therapy Assistant
- Rockville, MD
National Provider Identifier
1932780418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A5509
- Practice address
- 6121 Montrose Rd
Rockville, MD 20852-4803 - Phone
- (301) 710-8366
- NPI assigned
- Apr 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A5509 | MD | Primary |
| Physical Therapy Assistant | 225200000X | 2306605597 | VA |
Addresses
Primary practice location
6121 Montrose Rd
Rockville, MD 20852-4803
Mailing address
300 Yoakum Pkwy Apt 612
Alexandria, VA 22304-4054
Phone (804) 332-1593
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | li37746 | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A5509 | MD | MD | Physical Therapy Assistant |
| 2306605597 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1932780418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 YOAKUM PKWY APT 612",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223044054",
"telephone_number": "804-332-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6121 MONTROSE RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524803",
"telephone_number": "301-710-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISOM",
"first_name": "LEXUS",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A5509",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306605597",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "li37746",
"affiliation": "N",
"endpointDescription": "Casamba log in",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR",
"address_1": "6121 Montrose Rd",
"city": "Rockville",
"state": "MD",
"country_code": "US",
"postal_code": "208524803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.