Active NPI
Criselda Villarino Alvarado, PT
- Physical Therapist
- Eustis, FL
National Provider Identifier
1295976215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25240
- Practice address
- 2810 Ruleme St
Eustis, FL 32726-6527 - Phone
- (352) 483-5037
- NPI assigned
- Mar 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 030541-1 | NY | |
| Physical Therapist | 225100000X | PT019775 | PA | |
| Physical Therapist | 225100000X | PT25240 | FL | Primary |
Addresses
Primary practice location
2810 Ruleme St
Eustis, FL 32726-6527
Mailing address
5705 Quinton Way
Mt. Dora, FL 32757
Phone (954) 798-1259
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 |
|---|---|---|---|
| PT25240 | FL | MD | Physical Therapist |
| 030541-1 | NY | MD | Physical Therapist |
| PT019775 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1295976215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 QUINTON WAY",
"city": "MT. DORA",
"state": "FL",
"postal_code": "32757",
"telephone_number": "954-798-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 RULEME ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327266527",
"telephone_number": "352-483-5037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "CRISELDA",
"middle_name": "VILLARINO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030541-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019775",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.