Sheila Juan, R.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22112 Issued in MD

Practice address

1920 Old Springville Rd
Birmingham, AL 35215-5858

Phone

(800) 854-4459

NPI assigned

Apr 22, 2008

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sheila Dela Cruz Lazaro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1972778819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 OLD SPRINGVILLE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155858",
            "telephone_number": "240-476-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 OLD SPRINGVILLE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155858",
            "telephone_number": "800-854-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5625 Allentown Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Suitland",
            "state": "MD",
            "postal_code": "207464521",
            "country_code": "US",
            "telephone_number": "301-520-9376",
            "fax_number": "866-588-4662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAN",
        "first_name": "SHEILA",
        "name_prefix": "Ms.",
        "credential": "R.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "LAZARO",
            "middle_name": "DELA CRUZ",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.