Individual provider Active NPI

Emerlita Edda Dulce

  • Physical Therapy Assistant
  • Winter Park, FL
National Provider Identifier
1770045858
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA14056 Issued in FL
Practice address
558 N Semoran Blvd
Winter Park, FL 32792-2840
Phone
(407) 679-1515
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA14056 FL Primary

Addresses

Primary practice location

558 N Semoran Blvd
Winter Park, FL 32792-2840

Mailing address

5230 Calabash PL
Oviedo, FL 32765-6377
Phone (407) 488-9913

Other practice location 1

5230 Calabash Pl
Oviedo, FL 32765-6377
Phone (407) 673-1582

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

LicenseStateTypeSpecialty
PTA14056FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1770045858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 CALABASH PL",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656377",
            "telephone_number": "407-488-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 N SEMORAN BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922840",
            "telephone_number": "407-679-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Calabash Pl",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656377",
            "country_code": "US",
            "telephone_number": "407-673-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULCE",
        "first_name": "EMERLITA",
        "middle_name": "EDDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA14056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.