Vea Eunice Gestiada Evangelista, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041814 Issued in NY

Practice address

8532 125TH St
Kew Gardens, NY 11415-3311

Phone

(646) 639-3411

NPI assigned

Mar 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Vea Eunice Hernandez Gestiada Former name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart Well RehabilitationGroup PAC ID 1254811524, 2 clinicians

Spring Mountain Rehab LLCGroup PAC ID 9638208630, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heart Well Rehabilitation

  • Cardiopulmonary Physical Therapist
  • Henderson, NV
  • NPI 1518837244
  Medicare reassignment Care Compare group NPD
• Spring Mountain Rehab, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Las Vegas, NV
  • NPI 1447257456

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Heart Well Rehabilitation

  • Cardiac Rehabilitation Clinic/Center
  • Henderson, NV
  • NPI 1467315754
  NPD
• Balanced Health Medical

  • Specialist
  • New York, NY
  • NPI 1205066743

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1689133159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 125TH ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153311",
            "telephone_number": "646-639-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 125TH ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153311",
            "telephone_number": "646-639-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 E 58th St Ste 1101",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221272",
            "country_code": "US",
            "telephone_number": "212-755-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "VEA EUNICE",
        "middle_name": "GESTIADA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VEA EUNICE",
            "last_name": "GESTIADA",
            "middle_name": "HERNANDEZ",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Empire Vision Center, Inc
• Eppy Drugs Inc
• Chagane Hrant Eramian, PTA
• Charlene Espada, RN
• Jed Edison Mance Evangelista, PT
• Eye Lab Optician PC
• Eyedeal Optometry, PC
• Eyeglass Liquidators Inc.
• Jamie Lois Lorenzo Fabros
• Kayrene Farmer

• Physical Therapist in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.