Active NPI
Tracey Lynne Estok, PT
- Physical Therapist
- Tavares, FL
National Provider Identifier
1013121821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT16326
- Practice address
- 3140 Waterman Way
Tavares, FL 32778-5252 - Phone
- (352) 253-3892
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT16326 | FL | Primary |
Addresses
Primary practice location
3140 Waterman Way
Tavares, FL 32778-5252
Mailing address
22310 County Road 455
Howey in the Hills, FL 34737-4516
Phone (352) 243-4032
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 |
|---|---|---|---|
| PT16326 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health Development, Inc. | Past | Accepting new patients | |
| Coburn a. Marston, PT | Physical Therapist | Past | Accepting new patients |
| The Villages Rehabilitation Services LLC | Past | Accepting new patients | |
| Florida Physical Therapy & Rehabilitative Services Inc | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- Leesburg, FL
- NPI 1417023730
-
- Rehabilitation Clinic/Center
- Clermont, FL
- NPI 1528707379
-
- Rehabilitation Clinic/Center
- Lady Lake, FL
- NPI 1407922735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013121821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22310 COUNTY ROAD 455",
"city": "HOWEY IN THE HILLS",
"state": "FL",
"postal_code": "347374516",
"telephone_number": "352-243-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 WATERMAN WAY",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785252",
"telephone_number": "352-253-3892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTOK",
"first_name": "TRACEY",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT16326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.