Individual provider Active NPI

Eileen Gurr

  • Physical Therapy Assistant
  • Parkland, FL
National Provider Identifier
1063073690
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA9377 Issued in FL
Practice address
7756 NW 60TH LN
Parkland, FL 33067-3323
Phone
(954) 298-5248
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 PTA9377 FL Primary

Addresses

Primary practice location

7756 NW 60TH LN
Parkland, FL 33067-3323

Mailing address

7756 NW 60TH LN
Parkland, FL 33067-3323
Phone (954) 298-5248

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eihops88@gmaiil.com

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
PTA9377FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1063073690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7756 NW 60TH LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673323",
            "telephone_number": "954-298-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7756 NW 60TH LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673323",
            "telephone_number": "954-298-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURR",
        "first_name": "EILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA9377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eihops88@gmaiil.com",
            "affiliation": "N",
            "address_1": "7756 NW 60th Ln",
            "city": "Parkland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330673323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.