Active NPI
Irving Harold Ensor, PTA
- Physical Therapy Assistant
- Homosassa, FL
National Provider Identifier
1265737191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 22458
- Practice address
- 8477 S Suncoast Blvd
Homosassa, FL 34446-5028 - Phone
- (352) 382-1141
- Fax
- (352) 382-1146
- NPI assigned
- Jan 25, 2011
- 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 Therapy Assistant | 225200000X | PTA 22458 | FL | Primary |
Addresses
Primary practice location
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Mailing address
14235 Edwinola Way
Room 831
Dade City, FL 33523-3763
Phone (352) 567-5910
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 |
|---|---|---|---|
| PTA 22458 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Rehab, LLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Hernando, FL
- NPI 1548237118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1265737191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14235 EDWINOLA WAY",
"address_2": "ROOM 831",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335233763",
"telephone_number": "352-567-5910",
"fax_number": "352-567-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8477 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344465028",
"telephone_number": "352-382-1141",
"fax_number": "352-382-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENSOR",
"first_name": "IRVING",
"middle_name": "HAROLD",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 22458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homosassa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.