Agustin Asuit Espinosa Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070019548 Issued in IL

Practice address

7030 100TH St
Apartment 106
Chicago Ridge, IL 60415-1242

Phone

(706) 581-6457

NPI assigned

Nov 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Integra Rehabilitation Agency, LLC

  • Rehabilitation Clinic/Center
  • Dalton, GA
  • NPI 1053414177
  NPD (past)

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381622400000",
    "number": "1649508094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 100TH ST",
            "address_2": "APARTMENT 106",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151242",
            "telephone_number": "706-581-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 100TH ST",
            "address_2": "APARTMENT 106",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151242",
            "telephone_number": "706-581-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "AGUSTIN",
        "middle_name": "ASUIT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-23",
        "last_updated": "2013-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009429",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23975",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevated Groups Counseling LLC
• Elevated Groups Counseling LLC
• Jade Enriquez
• Ep Mann MD LTD
• Amy Elizabeth Erickson, APRN
• Expert Pain MD PLLC
• Express Medical Labs LLC
• Express Urgent Care LLC
• Family Eye Professionals LTD
• Ma Cathrina Fegalquin

• Physical Therapist in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2013; 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.