Jacob U Palathinkal, PHYSICAL THERAPIST

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT19537 Issued in FL

Practice address

9803 Wydella St
Riverview, FL 33569-9003

Phone

(813) 671-4557

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By the provider in NPPES

Sex

Male

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1588930804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9803 WYDELLA ST",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335699003",
            "telephone_number": "813-671-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9803 WYDELLA ST",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335699003",
            "telephone_number": "813-671-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALATHINKAL",
        "first_name": "JACOB",
        "middle_name": "U",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT19537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie E Owens, LMSW, LCSW
• Heather Padgett, APRN
• Jada Pagan, RBT
• Phyllis Ann Page, PHD, ARNP
• Kiran Pai, M.D.
• Courtney Paleveda, CRNA
• Angela Margaret Palmer
• Tricia N Palmer, ARNP-BC
• Sheikina Palmore, PHARMD
• Palms Uropathology PA

• Geriatric Physical Therapist in Riverview, FL
• Providers in Riverview, FL by specialty
• Geriatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.