Trisa Job, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32381 Issued in FL

Practice address

35902 Hwy 27
Haines City, FL 33844-3737

Phone

(863) 421-1777

Fax

(863) 421-7070

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Trisa Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Cora Health Services, Inc

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720147226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35902 HWY 27",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443737",
            "telephone_number": "863-421-1777",
            "fax_number": "863-421-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35902 HWY 27",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443737",
            "telephone_number": "863-421-1777",
            "fax_number": "863-421-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 1st Ave # A-560",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100169196",
            "country_code": "US",
            "telephone_number": "212-562-2300",
            "fax_number": "212-562-3486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOB",
        "first_name": "TRISA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "32381",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISA",
            "last_name": "CAMPBELL",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• JD Santos Support Services Agency LLC
• Carline Jean-McAdoo, APRN, PMHNP-BC
• Maria Dolores Jimenez
• William Fernando Jimenez, M.D.
• Marie Darline JN Baptiste Sinvil
• John W Conboy MD PA
• Shantana D Johnson
• Elena E Jones, A.R.N.P
• Jacquelyn L Jones, RN
• Shelby P Jones, ARNP

• Physical Therapist in Haines City, FL
• Providers in Haines 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 Mar 17, 2018; 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.