Individual provider Active NPI

Mary Eve Adeline Torres Escoto, PT

  • Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1609409812
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305073 Issued in CA
Practice address
10605 Balboa Blvd Ste 330
Granada Hills, CA 91344-6358
Phone
(818) 832-7200
NPI assigned
Feb 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 305073 CA Primary

Addresses

Primary practice location

10605 Balboa Blvd Ste 330
Granada Hills, CA 91344-6358

Mailing address

8309 Norwood Dr
Millersville, MD 21108-1511
Phone (267) 887-8585

Other practice location 1

7310 Ritchie Hwy Ste 615
Glen Burnie, MD 21061-3291
Phone (443) 749-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305073CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1609409812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 NORWOOD DR",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081511",
            "telephone_number": "267-887-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD STE 330",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446358",
            "telephone_number": "818-832-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7310 Ritchie Hwy Ste 615",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613291",
            "country_code": "US",
            "telephone_number": "443-749-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOTO",
        "first_name": "MARY EVE ADELINE",
        "middle_name": "TORRES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-16",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.