Jesus Ernesto Alfonso, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA23100 Issued in FL

Practice address

10621 SW 88TH St
Suite 209
Miami, FL 33176-8708

Phone

(786) 287-5041

Fax

(305) 270-0206

NPI assigned

May 2, 2012

Last updated

May 2, 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emmi Physical Therapy Group LLC

  • Other Technician
  • Miami, FL
  • NPI 1003250820
  NPD Authorized official
• Dynamic Physical Therapy Services Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Orlando, FL
  • NPI 1255646956
  Authorized official Same address or phone
• Physical Occupational and Sport Rehabilitation Center

  • Physical Therapy Assistant
  • Miami, FL
  • NPI 1669837753
  Authorized official Same address or phone
• Family Care Physical Therapy

  • Physical Therapy Clinic/Center
  • Miami, FL
  • NPI 1497005813
  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1649538224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 SW 88TH ST",
            "address_2": "SUITE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "786-287-5041",
            "fax_number": "305-270-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 SW 88TH ST",
            "address_2": "SUITE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768708",
            "telephone_number": "786-287-5041",
            "fax_number": "305-270-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "JESUS",
        "middle_name": "ERNESTO",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA23100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivette Alfonso, CAA
• Ivon M Alfonso
• Javier Emilio Alfonso, M.D.
• Jenny Lynn Alfonso, PHARM D
• Jessica Maria Alfonso
• Jose Enrique Alfonso, CRT
• Jossue Alfonso, D.M.D.
• Justo Ramon Alfonso, AP
• Lileisy Alfonso
• Lino Roberto Alfonso, PTA

• Physical Therapy Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.