Isaiah Elijah Aspra Requintina, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT39286 Issued in FL

Practice address

6258 CR-453
Pensacola, FL 32505

Phone

(850) 904-4344

NPI assigned

Oct 28, 2022

Sex

Male

Sole proprietor

Yes

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": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1467169664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 CROSSINGS COURT",
            "address_2": "APT. 201",
            "city": "PACE",
            "state": "FL",
            "postal_code": "32571",
            "telephone_number": "903-241-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6258 CR-453",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32505",
            "telephone_number": "850-904-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REQUINTINA",
        "first_name": "ISAIAH ELIJAH",
        "middle_name": "ASPRA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT39286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renfreo Spinal Center
• Renfroe Spinal Center LLC
• John Mark Renfroe, D.C.
• Philip E Renfroe, DC
• Daniel Frank Rentz, DDS, MSD
• Cristina Lynn Resczenski, DO
• Resilience ABA & Consultation
• Resilience Psychiatry, LLC
• Christie Resmondo, MSN, APRN, FNP-C
• Respiratory Consutants, Inc.

• Orthopedic Physical Therapist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.