Individual provider Active NPI

Amanda J Espinoza, PTA

  • Physical Therapy Assistant
  • Corpus Christi, TX
National Provider Identifier
1043793755
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2104930 Issued in TX
Practice address
7022 Boardwalk Ave
Corpus Christi, TX 78414-4174
Phone
(361) 944-0567
NPI assigned
Sep 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2104930 TX Primary

Addresses

Primary practice location

7022 Boardwalk Ave
Corpus Christi, TX 78414-4174

Mailing address

118 Coriander BND
San Antonio, TX 78253-5299
Phone (361) 232-3630

Other practice location 1

600 N Pearl St Ste 1050
Dallas, TX 75201-7495
Phone (888) 210-9871

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
2104930TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1043793755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CORIANDER BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535299",
            "telephone_number": "361-232-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7022 BOARDWALK AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144174",
            "telephone_number": "361-944-0567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Pearl St Ste 1050",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752017495",
            "country_code": "US",
            "telephone_number": "888-210-9871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2104930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.