Tirsit Tesfaye, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2839 SW 87TH Dr Ste 10
Gainesville, FL 32608-9376

Phone

(352) 505-6665

NPI assigned

Nov 30, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Kinetix Physical Therapy P a

  • Physical Therapist
  • Gainesville, FL
  • NPI 1134273048
  NPD

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1740948546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 SW 87TH DR STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089376",
            "telephone_number": "352-505-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 SW 87TH DR STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089376",
            "telephone_number": "352-505-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAYE",
        "first_name": "TIRSIT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "PTA30550",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tirsitt@kinetixpt.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Info",
            "address_1": "2839 SW 87th Dr Ste 10",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326089376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy M Terrell, RCSWI
• Charlotte S Terry-Mendez
• Russell Stevens Terry Jr., M.D.
• Terriona Terry
• Stephanni Kailing Terza, DMD
• Jianna Tesoro Estioko
• Laura Lynn Testa, RDH
• Paul E Teto
• Yesenia Teutsch, APRN
• Nolan Tews

• Physical Therapy Assistant in Gainesville, FL
• Providers in Gainesville, 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 Nov 30, 2021; 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.