Elaine Criselda Dequina Moline, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070017788 Issued in IL

Practice address

302 Nottingham LN
Schererville, IN 46375-1809

Phone

(561) 374-4553

NPI assigned

Jul 31, 2012

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

Other names 1

• Elaine Criselda Quero Dequina Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ultimate Care Inc.

  • Occupational Therapist
  • Delray Beach, FL
  • NPI 1316382898
  NPD (past)

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1548516271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16089 POPPYSEED CIR UNIT 2008",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NOTTINGHAM LN",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751809",
            "telephone_number": "561-374-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINE",
        "first_name": "ELAINE",
        "middle_name": "CRISELDA DEQUINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE CRISELDA",
            "last_name": "DEQUINA",
            "middle_name": "QUERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael a. Gordon, DDS, PC
• Midwest Clinic PC
• Midwest Express Care, Inc
• Midwest Express Care, Inc
• Midwest Healthcare Services PC
• William Gardner Moll, D.D.S.
• Monzel Chiropractic LLC
• Elizabeth Ann Mora, OTR
• Laura B Mora, O.T.
• Motus Integrative Health, PC

• Physical Therapist in Schererville, IN
• Providers in Schererville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.