The PT Consult LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28866 Issued in FL

Legal business name

THE PT CONSULT LLC

Practice address

5910 Post Blvd Unit 110525
Lakewood Ranch, FL 34211-0722

Phone

(908) 328-6969

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Evelyn Tejeda, PTNPI 1205126935

Title

Managing Member

Phone

(908) 328-6969

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evelyn R Tejeda, PT

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1205126935
  NPD (past) Authorized official

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1073975827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 POST BLVD UNIT 110525",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342110722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 POST BLVD UNIT 110525",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342110722",
            "telephone_number": "908-328-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PT CONSULT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-328-6969",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.