Abel Reyes Landa Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

53719 Issued in CA

Practice address

12539 Imperial Hwy Ste 201
Norwalk, CA 90650-3106

Phone

(562) 379-9541

NPI assigned

Nov 1, 2024

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1932922622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14338 DISNEY AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906505037",
            "telephone_number": "562-712-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12539 IMPERIAL HWY STE 201",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503106",
            "telephone_number": "562-379-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDA",
        "first_name": "ABEL",
        "middle_name": "REYES",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "53719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Veta Lair
• Ashley Lam, PHARMD
• Patrick Lamas
• Esther Lan, O.D.
• Efrain Landa Gonzalez
• Maggie Langan
• Sydney Langley
• Melissa Lanto
• Pamela Lao, RPT
• Melissa Elena Lara

• Physical Therapy Assistant in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.