Individual provider Active NPI

Eva Marie Matchubar Layague, PHYSICAL THERAPIST

  • Physical Therapist
  • Coral Springs, FL
National Provider Identifier
1023478112
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1271940 Issued in TX
Practice address
5800 W Sample Rd Apt 206
Coral Springs, FL 33067-3238
Phone
(954) 344-4145
NPI assigned
Mar 2, 2016
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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 1271940 TX Primary

Addresses

Primary practice location

5800 W Sample Rd Apt 206
Coral Springs, FL 33067-3238

Mailing address

5800 W Sample Rd Apt 206
Coral Springs, FL 33067-3238
Phone (954) 344-4145

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
1271940TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1023478112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W SAMPLE RD APT 206",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673238",
            "telephone_number": "954-344-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W SAMPLE RD APT 206",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673238",
            "telephone_number": "954-344-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYAGUE",
        "first_name": "EVA MARIE",
        "middle_name": "MATCHUBAR",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1271940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.