Active NPI
Luar Arjay Du Legua, PT
- Physical Therapist
- Eads, CO
National Provider Identifier
1962711440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL-8449
- Practice address
- 1208 Luther St
Eads, CO 81036-0817 - Phone
- (719) 438-5401
- Fax
- (719) 438-5391
- NPI assigned
- Sep 30, 2010
- Last updated
- Mar 14, 2013
- Sex
- Male
- 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 Therapist | 225100000X | PTL-8449 | CO | Primary |
| Physical Therapist | 225100000X | PT00010660 | WA |
Addresses
Primary practice location
1208 Luther St
Eads, CO 81036-0817
Mailing address
4716 176TH St SW
Apt C1
Lynnwood, WA 98037-3465
Phone (719) 250-7706
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 |
|---|---|---|---|
| PTL-8449 | CO | MD | Physical Therapist |
| PT00010660 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1962711440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 176TH ST SW",
"address_2": "APT C1",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980373465",
"telephone_number": "719-250-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 LUTHER ST",
"city": "EADS",
"state": "CO",
"postal_code": "810360817",
"telephone_number": "719-438-5401",
"fax_number": "719-438-5391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGUA",
"first_name": "LUAR ARJAY",
"middle_name": "DU",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-30",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL-8449",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010660",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eads, CO
- Kiowa County Dept of Social Services
- Kiowa County Hospital District (Eads Medical Clinic)
- Kiowa County Hospital District (Weisbrod Health)
- Kiowa County Public Health Agency
- Kiowa Home Health Services
- Lindsey Marie Counseling, PLLC
- Robert Todd Michael, DO
- Pharmacy Services Inc. (Kiowa Pharmacy)
- Poudre Valley Medical Group, LLC (UCHealth Medical Group)
- Prairie Pines
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.