Angeline Estoque

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4746 Issued in MS

Practice address

4348 N Gloster St Apt 11a
Tupelo, MS 38804-7251

Phone

(662) 680-3148

Fax

(877) 276-4918

NPI assigned

May 19, 2015

Sex

Female

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)

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 and National Provider Directory roles.

• Reconnect Wellness Bruce LLC

  • Preferred Provider Organization
  • Bruce, MS
  • NPI 1396286456
  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1740669159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 N GLOSTER ST APT 11A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388047251",
            "telephone_number": "662-680-3148",
            "fax_number": "877-276-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 N GLOSTER ST APT 11A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388047251",
            "telephone_number": "662-680-3148",
            "fax_number": "877-276-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTOQUE",
        "first_name": "ANGELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Estes
• Carolyn Estes, NP
• John Murray Estess Jr., MD
• Jennifer G. Estock, WHNP-BC, ANP-C
• Wesley Estock, PHYSICIAN ASSISTANT
• Eterna Primary Care of Mississippi LLC
• Audrey Dale Ethridge, PMHNP-BC, MSN
• Travis A Eubanks, DO
• Breanna Evans, PMHNP-BC
• Cynthia Evans

• Physical Therapist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.