Estella H Recreo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14527 Issued in CA

Practice address

402 S Prospectors Rd
Suite # E
Diamond Bar, CA 91765-1659

Phone

(909) 860-5382

Fax

(909) 860-5384

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diamond Physical Therapy

  • Rehabilitation Clinic/Center
  • Diamond Bar, CA
  • NPI 1902078579

  Physical Therapist

  NPD (past) Authorized official
• John Hwan Kim Evergreen Medical Group

  • Specialist
  • Rowland Heights, CA
  • NPI 1376553651
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437222924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S PROSPECTORS RD",
            "address_2": "SUITE # E",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651659",
            "telephone_number": "909-860-5382",
            "fax_number": "909-860-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S PROSPECTORS RD",
            "address_2": "SUITE # E",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651659",
            "telephone_number": "909-860-5382",
            "fax_number": "909-860-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECREO",
        "first_name": "ESTELLA",
        "middle_name": "H",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT14527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Ramey
• Kathy M Ramos, M.F.T.
• Roxanne Iris Nicolas Ramos, DMD
• Purvi Rawal, D.D.S.
• Rebecca O Arambuco DDS Inc
• Lynda Leanne Reed, NP
• David Rhodes, MD
• Jennifer Rivas
• Rivernorth Acupuncture Inc
• Yvonne Rodriguez Lawson, MD

• Physical Therapist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.