Individual provider Active NPI

Elisa D Murrietta

  • Physical Therapy Assistant
  • Tucson, AZ
National Provider Identifier
1326539339
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
8367A Issued in AZ
Practice address
2040 N Wilmot Rd
Tucson, AZ 85712-3039
Phone
(520) 300-6115
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8367A AZ Primary

Addresses

Primary practice location

2040 N Wilmot Rd
Tucson, AZ 85712-3039

Mailing address

77 N Camino Seco Apt 2114
Tucson, AZ 85710-2976
Phone (520) 440-9174

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

LicenseStateTypeSpecialty
8367AAZMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1326539339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N CAMINO SECO APT 2114",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102976",
            "telephone_number": "520-440-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123039",
            "telephone_number": "520-300-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRIETTA",
        "first_name": "ELISA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "8367A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.