Individual provider Active NPI

Margaret A Enstrom, PTA

  • Physical Therapy Assistant
  • Beverly Hills, FL
National Provider Identifier
1124239165
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
19677 Issued in FL
Practice address
2155 W Mustang Blvd
Mid Florida Therapy, Inc.
Beverly Hills, FL 34465-3520
Phone
(352) 527-2221
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 19677 FL Primary
Physical Therapy Assistant 225200000X 5226 OH

Addresses

Primary practice location

2155 W Mustang Blvd
Mid Florida Therapy, Inc.
Beverly Hills, FL 34465-3520

Mailing address

3107 SE Badger Rd
Branford, FL 32008-5125

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
5226OHMDPhysical Therapy Assistant
19677FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1124239165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 SE BADGER RD",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320085125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W MUSTANG BLVD",
            "address_2": "MID FLORIDA THERAPY, INC.",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653520",
            "telephone_number": "352-527-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSTROM",
        "first_name": "MARGARET",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "19677",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "5226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.