Active NPI
Jisha Markose, DPT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1386184075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011858
- Practice address
- 9210 Northlake Pkwy
Apartment101
Orlando, FL 32827-5716 - Phone
- (407) 470-4546
- NPI assigned
- Mar 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011858 | MI | Primary |
Addresses
Primary practice location
9210 Northlake Pkwy
Apartment101
Orlando, FL 32827-5716
Mailing address
9210 Northlake Parkway
Apartment101
Orlando, FL 32827
Phone (407) 470-4546
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501011858 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1386184075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9210 NORTHLAKE PARKWAY",
"address_2": "APARTMENT101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32827",
"telephone_number": "407-470-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9210 NORTHLAKE PKWY",
"address_2": "APARTMENT101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328275716",
"telephone_number": "407-470-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKOSE",
"first_name": "JISHA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-01",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.