Ketziel Estrada, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33977 Issued in FL

Practice address

2202 W Oak Ave
Plant City, FL 33563-7222

Phone

(813) 754-3761

NPI assigned

May 30, 2019

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)

Enrolled

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1619535259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 E CUMBERLAND AVE UNIT 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024212",
            "telephone_number": "787-608-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 W OAK AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637222",
            "telephone_number": "813-754-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "KETZIEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Epperson
• Deborah Vida Epstein, APRN
• Erica Smithberger M.D., P.L.
• Karina Dolly Escudero Chu, MD
• Esl Medical Corp
• Ryneal N Eugenio, D.O.
• Willow Jo Everett, PSY.M.
• Savannah Ewing, DC
• Exodus Women'S Center, Inc.
• Eye Doctors Optical Outlets, PA

• Physical Therapist in Plant City, FL
• Providers in Plant City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.