Ricardo Lorenzo Escajadillo, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024454 Issued in PA

Practice address

2167 W 12TH St
Erie, PA 16505-4804

Phone

(814) 454-4243

NPI assigned

Jul 25, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rise Up Physical Therapy LLCGroup PAC ID 7810302593, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rise Up Physical Therapy, LLC

  • Physical Therapist
  • Erie, PA
  • NPI 1609364165
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1124374384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054804",
            "telephone_number": "814-454-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAJADILLO",
        "first_name": "RICARDO",
        "middle_name": "LORENZO",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9419",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT003261",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erie Wellness, PC
• Erik O. Esper, D.O.
• Hanna Ermesjoe
• Barbara Jeanne Ertl, LPC
• Elizabeth Stephany Escajadillo, PT
• Ekaterina Vasilievna Escobar, MS, LPC
• Kayla Eshbaugh, OD
• Esper Treatment Center Inc
• Alan N Esper, DO
• Brian Edward Esper, PHARM.D

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.