Therese Renee Ettlinger, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0004881 Issued in FL

Practice address

200 SE 19TH Ave
Pompano Beach, FL 33060-7543

Phone

(954) 943-9589

Fax

(954) 943-4115

NPI assigned

Sep 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Terri Ettlinger Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Broward Childrens Center Inc

  • Clinic/Center
  • Pompano Beach, FL
  • NPI 1831224609

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265534705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 RODMAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206437",
            "telephone_number": "954-922-0265",
            "fax_number": "954-922-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE 19TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607543",
            "telephone_number": "954-943-9589",
            "fax_number": "954-943-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTLINGER",
        "first_name": "THERESE",
        "middle_name": "RENEE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0004881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "ETTLINGER",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elisa Esteban
• Michael Estep, MD
• Manoucheka Estime
• Irving Estrin, MD
• Myrlande Etienne, BA
• Cherena Etwaru
• Eugenio Menendez D.O., P.a. (Pompano Beach Internal Medicine)
• Aisha Zakia Evans
• Fernella Brown Evelyn, CBHT
• Everest Diagnostics LLC

• Physical Therapist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.