Individual provider Active NPI

Tracey Lynne Estok, PT

  • Physical Therapist
  • Tavares, FL
National Provider Identifier
1013121821
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16326 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT16326FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.