Individual provider Active NPI

Felomina C Basilio-Eulalia, PHYSICAL THERAPIST

  • Physical Therapist
  • Florissant, MO
National Provider Identifier
1699948612
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RO796 Issued in MO
Practice address
934 Patience Drive
Florissant, MO 63034
Phone
(314) 972-9326
Fax
(314) 972-9326
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X RO796 MO Primary

Addresses

Primary practice location

934 Patience Drive
Florissant, MO 63034

Mailing address

934 Patience Drive
Florissant, MO 63034
Phone (314) 972-9326

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
RO796MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1699948612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 PATIENCE DRIVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63034",
            "telephone_number": "314-972-9326",
            "fax_number": "314-972-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 PATIENCE DRIVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63034",
            "telephone_number": "314-972-9326",
            "fax_number": "314-972-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILIO-EULALIA",
        "first_name": "FELOMINA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "RO796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.