Individual provider Active NPI

Ernesto Mariquit, RPT

  • Physical Therapist
  • Apopka, FL
National Provider Identifier
1154445617
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
FL5636 Issued in FL
Practice address
2107 Country Side Dr
Apopka, FL 32712-2069
Phone
(321) 229-4168
Fax
(407) 814-3153
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X FL5636 FL Primary

Addresses

Primary practice location

2107 Country Side Dr
Apopka, FL 32712-2069

Mailing address

2107 Country Side Dr
Apopka, FL 32712-2069
Phone (321) 229-4168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000593 FL Practitioner - Physical Therapist in Private Practice 1759479793 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FL5636FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Champions Therapy and Services Physical Therapist CurrentSince Jun 6, 2025 Accepting new patients

Locations

6 N Eustis St
Eustis, FL 32726
Phone (321) 276-5054

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1154445617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 COUNTRY SIDE DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122069",
            "telephone_number": "321-229-4168",
            "fax_number": "407-814-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 COUNTRY SIDE DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122069",
            "telephone_number": "321-229-4168",
            "fax_number": "407-814-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIQUIT",
        "first_name": "ERNESTO",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "FL5636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.