John Esteban Tavarez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA31709 Issued in FL

Practice address

1465 Oakfield Dr
Brandon, FL 33511-4854

Phone

(813) 655-0404

NPI assigned

Jan 4, 2022

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

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1730840562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W SAINT LOUIS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072017",
            "telephone_number": "321-615-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114854",
            "telephone_number": "813-655-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ",
        "first_name": "JOHN",
        "middle_name": "ESTEBAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA31709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donovan N. Tapper, M.D.
• Dana Tarabishy, DMD
• Olivia Deeanna Tash, P.T.,L.M.T.
• Scott Howard Tashman, D.C.
• Tinesha Taulbee
• Niulca Tavarez
• Brianne Taylor, APRN
• Crystal Taylor, LPN
• Lawrence Carol Taylor Jr., MD
• Lendel Mark Taylor, MD

• Physical Therapy Assistant in Brandon, FL
• Providers in Brandon, 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 Jan 4, 2022; 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.