Active NPI
Rosendo Islas-Torres
- Physical Therapy Assistant
- Moline, IL
National Provider Identifier
1750656922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160005597
- Practice address
- 436 38TH St
Moline, IL 61265-1635 - Phone
- (309) 428-7572
- NPI assigned
- Mar 20, 2012
- Last updated
- Mar 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160005597 | IL | Primary |
Addresses
Primary practice location
436 38TH St
Moline, IL 61265-1635
Mailing address
436 38TH St
Moline, IL 61265-1635
Phone (309) 428-7572
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160005597 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1750656922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 38TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612651635",
"telephone_number": "309-428-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 38TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612651635",
"telephone_number": "309-428-7572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAS-TORRES",
"first_name": "ROSENDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160005597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
- Nicholas Interial, PT,DPT,ATC
- Brittney Michelle Ionescu, SLP
- Ioan Daniel Ionescu, PHARMD
- Iowa Physicians Clinic Medical Foundation (UnityPoint Clinic Workplace Health)
- Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
- Israel V. Fernando (Advanced Dermatology)
- Itek Interpreting Solutions LLC
- Arled Izquierdo, MD
- J & S Kelly LLC (Kelly's Medical Equipment & Supply)
- J a K Enterprises Inc (Bard Optical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.