Marcial Rodrigo Lemos

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5116 Issued in ID

Practice address

1800 Flandro Dr Ste 190
Pocatello, ID 83202-4940

Phone

(208) 233-2248

NPI assigned

May 18, 2017

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

State licenses

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1982131124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "ABERDEEN",
            "state": "ID",
            "postal_code": "832100091",
            "telephone_number": "208-339-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FLANDRO DR STE 190",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832024940",
            "telephone_number": "208-233-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOS",
        "first_name": "MARCIAL",
        "middle_name": "RODRIGO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "5116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braeden Leiby, MD
• Kimberly Leishman, LPC,
• Benjamin Doran Lemmon
• Alexander Lemon
• Richard W Lemon, M.P.T.
• Megan Diane Lenihan, PHARMD
• Juan Jose Leon, MD
• Karl M Letko, MPAS, PA-C
• Celeste Lew
• Deborah Lewis, MSW, LMSW

• Physical Therapy Assistant in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.