Ernesto Casanova

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

29306 Issued in FL

Practice address

2629 Del Prado Blvd S
Cape Coral, FL 33904-5769

Phone

(239) 574-4434

NPI assigned

Jun 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1376104265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 32ND AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341168235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045769",
            "telephone_number": "239-574-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "ERNESTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xavier Carty, DDS
• Yelizabeth Carvajalrubio, RBT
• Luciely Carvalho Martins, ARNP
• Jessica Casado Olivera, RBT-24-377391
• Elizabet Casanova Nodarse
• Lyzet Casanova
• Yanin Casanueva Garcia
• Evelyn Casas Alvarez, DMD
• Frank Peter Casdia Jr., DC, HAS
• Gretchel De Los Milagros Castaneda Vazquez, CBHCM

• Physical Therapy Assistant in Cape Coral, FL
• Providers in Cape Coral, 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 Jun 22, 2019; 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.