Individual provider Active NPI

Dinah Estraza Estrellanes, PT

  • Physical Therapist
  • Milton Freewater, OR
National Provider Identifier
1386888154
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5806 Issued in OR
Practice address
120 Elzora St
Milton Freewater, OR 97862-9454
Phone
(541) 938-3318
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24505 FL
Physical Therapist 225100000X 5806 OR Primary

Addresses

Primary practice location

120 Elzora St
Milton Freewater, OR 97862-9454

Mailing address

152 SE 8TH Ave Apt 6
Milton Freewater, OR 97862-1166
Phone (503) 422-8881

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
24505FLMDPhysical Therapist
5806ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1386888154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SE 8TH AVE APT 6",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621166",
            "telephone_number": "503-422-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ELZORA ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978629454",
            "telephone_number": "541-938-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLANES",
        "first_name": "DINAH",
        "middle_name": "ESTRAZA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24505",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton Freewater, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.