Individual provider Active NPI

Josafeena Lagman Dequina, RPT

  • Physical Therapist
  • Center Point, AL
National Provider Identifier
1275860546
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2009032154 Issued in MO
Practice address
1920 Old Springville Rd
Suite 104
Center Point, AL 35215-5858
Phone
(618) 910-9010
Fax
(205) 520-0455
NPI assigned
Nov 6, 2009
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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 2009032154 MO Primary

Addresses

Primary practice location

1920 Old Springville Rd
Suite 104
Center Point, AL 35215-5858

Mailing address

1920 Old Springville Rd
Suite 104
Center Point, AL 35215-5858
Phone (618) 910-9010

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009032154MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1275860546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 OLD SPRINGVILLE RD",
            "address_2": "SUITE 104",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352155858",
            "telephone_number": "618-910-9010",
            "fax_number": "205-520-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 OLD SPRINGVILLE RD",
            "address_2": "SUITE 104",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352155858",
            "telephone_number": "618-910-9010",
            "fax_number": "205-520-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEQUINA",
        "first_name": "JOSAFEENA",
        "middle_name": "LAGMAN",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009032154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Point, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.