Evelyn Mondares Erana, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 12260 Issued in FL

Practice address

12170 Cortez Blvd
Brooksville, FL 34613-5578

Phone

(352) 597-5100

NPI assigned

Nov 15, 2012

Sex

Female

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1033453022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PEPPER CT",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465717",
            "telephone_number": "352-382-7045",
            "fax_number": "352-382-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12170 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135578",
            "telephone_number": "352-597-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERANA",
        "first_name": "EVELYN",
        "middle_name": "MONDARES",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL  THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 12260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Eliassen, MD
• Elite Womens Care
• Jeanne Louise Ellis, RN
• Venkata Rao Emandi, M.D.
• Encompass Health Rehabilitation Hospital of Spring Hill, Inc.
• Erin Abbott Street Mateer MD PLLC
• Hannah Sam Ersoff, AU.D.
• Harvey N Esrov, MD
• James Jinsang Eun, MD
• Melissa Maria Euteneuer, LCSW

• Physical Therapist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.