Healthcare Provider Details

I. General information

NPI: 1437723723
Provider Name (Legal Business Name): ALEXIA LIZBETH HERRERA DPT, PT,FAAOMPT,OCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 UNITY CT
MONROE NC
28110-7878
US

IV. Provider business mailing address

1002 UNITY CT
MONROE NC
28110-7878
US

V. Phone/Fax

Practice location:
  • Phone: 704-283-0028
  • Fax:
Mailing address:
  • Phone: 704-283-0028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1348718
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number3126559
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: