Tomas A Estacio, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

009617 Issued in IL

Practice address

1225 W Lake St
Melrose Park, IL 60160-4039

Phone

(708) 938-7185

NPI assigned

Aug 20, 2019

Sex

Male

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1376190975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W LAKE ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604039",
            "telephone_number": "708-938-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W LAKE ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604039",
            "telephone_number": "708-938-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTACIO",
        "first_name": "TOMAS",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IL",
            "license": "009617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan David Erce, D.M.D.
• Brian Patrick Ervin, PT, DPT
• Jaime Ricardo Escobar, MD
• Behrooz Eshaghy, M.D.
• Onyinyechi Kelechukwu Esonu, DMD
• Peter Evelio Eupierre, M.D.
• Evan J. Samett M.D.S.C.
• Francis John Robles Evangelista, M.D.
• Lisa Evertsen, PA-C
• Mandana Faghani, MD

• Geriatric Physical Therapist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Geriatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.