Individual provider Active NPI

Isabelle Yvette Larios

  • Athletic Trainer
  • Phoenix, AZ
National Provider Identifier
1972236487
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
SLPA13441 Issued in AZ
Practice address
4545 N 36TH St Ste 125a
Phoenix, AZ 85018-3456
Phone
(602) 224-0202
NPI assigned
Jul 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X SLPA13441 AZ Primary

Addresses

Primary practice location

4545 N 36TH St Ste 125a
Phoenix, AZ 85018-3456

Mailing address

3033 E Thunderbird Rd Apt 1051
Phoenix, AZ 85032-8602
Phone (623) 850-0863

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

LicenseStateTypeSpecialty
SLPA13441AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Institute for Communication & Cognitive Disorders Inc CurrentSince Jul 10, 2022 Accepting new patients

Locations

4545 N 36th St
Ste 125A
Phoenix, AZ 85018
Phone (602) 224-0202

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1972236487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 E THUNDERBIRD RD APT 1051",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850328602",
            "telephone_number": "623-850-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST STE 125A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183456",
            "telephone_number": "602-224-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIOS",
        "first_name": "ISABELLE",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2022-07-03",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "SLPA13441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; 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.