Individual provider Active NPI

Yelitza Vinueza-Estrada, PTA

  • Physical Therapy Assistant
  • Valrico, FL
National Provider Identifier
1346378601
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA10262 Issued in FL
Practice address
3248 Lithia Pinecrest Rd
Suite 101
Valrico, FL 33594-5682
Phone
(813) 662-1366
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PTA10262 FL Primary

Addresses

Primary practice location

3248 Lithia Pinecrest Rd
Suite 101
Valrico, FL 33594-5682

Mailing address

4528 Portobello Cir
Valrico, FL 33594-8500
Phone (813) 684-2898

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
PTA10262FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc Past Accepting new patients
Cora Health Services Inc PastSince Jul 1, 2021 Accepting new patients

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346378601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 PORTOBELLO CIR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335948500",
            "telephone_number": "813-684-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 LITHIA PINECREST RD",
            "address_2": "SUITE 101",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945682",
            "telephone_number": "813-662-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINUEZA-ESTRADA",
        "first_name": "YELITZA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA10262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • 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.