Mary E Estrada

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1072019 Issued in WI

Practice address

250 International Pkwy
Ste 260
Lake Mary, FL 32746-5030

Phone

(800) 806-6026

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326258294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E PEARL ST",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541560",
            "telephone_number": "815-541-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 INTERNATIONAL PKWY",
            "address_2": "STE 260",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465030",
            "telephone_number": "800-806-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "MARY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1072019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Nurely Escobar
• Keyla Lorraine Escobar, APRN
• Forooz Rose Esmaili
• Luis A. Espinet, D.M.D.
• Edwin Espinosa, DPT
• Eternamd
• Taylor Stoeckert Eubank, APRN
• Jamal Anthon Evans Jr Jr.
• Jama Lynn Evans
• Evernorth Behavioral Care Group of California, P.C.

• Physical Therapy Assistant in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Physical Therapy Assistant 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.