Theresa Esquivel-Wade

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2654 Issued in AK

Practice address

1341 Juneau Ave Unit B
Jber, AK 99505-1236

Phone

(254) 245-5792

NPI assigned

Nov 27, 2013

Last updated

Nov 27, 2013By the provider in NPPES

Sex

Female

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": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1417388570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 JUNEAU AVE UNIT B",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995051236",
            "telephone_number": "254-245-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 JUNEAU AVE UNIT B",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995051236",
            "telephone_number": "254-245-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIVEL-WADE",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "2654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maeve Rose Elliott, MD
• Carlie Kate Elmer
• Steven Embry, DO
• Marcus Orion Erdman, MD
• Kimberly Yoon Kyung Ernst, LCSW
• Claire E Feild, ATC
• Daniela Faith Feldhausen, EMPA-C
• Ulysses Fernandez-Miro, DO
• Thomas Guy Fevurly, CRNA
• Kayla Finley

• Physical Therapy Assistant in Jber, AK
• Providers in Jber, AK by specialty
• Physical Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.