Active NPI
Albert Ebue Estella, P.T.
- Physical Therapist
- Marlton, NJ
National Provider Identifier
1255505095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00985900
- Practice address
- 870 East Route 70
Careone at Evesham
Marlton, NJ 08053 - Phone
- (856) 396-0005
- NPI assigned
- Apr 14, 2008
- Last updated
- Apr 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00985900 | NJ | Primary |
Addresses
Primary practice location
870 East Route 70
Careone at Evesham
Marlton, NJ 08053
Mailing address
312 Cherry Hill Blvd
Cherry Hill, NJ 08002-1907
Phone (732) 397-1241
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00985900 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1255505095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 CHERRY HILL BLVD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080021907",
"telephone_number": "732-397-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 EAST ROUTE 70",
"address_2": "CAREONE AT EVESHAM",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-396-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTELLA",
"first_name": "ALBERT",
"middle_name": "EBUE",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00985900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
- Jonathan Ercolani
- Peter Eriksen, AU.D
- Dori Ertler, LPC
- Juan C. Escobedo, MS, LPC, NCC
- Gabriella Elena Esposito, M.S., CCC-SLP
- Evesboro Dental Associates PA
- Evesham Eye Associates, Inc. (Marlton Eye Associates)
- Evesham Township Board of Education
- Evesham Township Fire District No 1
- Excel Transportation Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.