Active NPI
Kristina Faith Esclares Socias, PTA
- Physical Therapy Assistant
- Fresno, CA
National Provider Identifier
1821596222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 49060
- Practice address
- 5555 N Fresno St
Fresno, CA 93710-6006 - Phone
- (559) 439-4770
- NPI assigned
- Jan 31, 2018
- Last updated
- Jan 31, 2018
- Sex
- Female
- 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 | 49060 | CA | Primary |
Addresses
Primary practice location
5555 N Fresno St
Fresno, CA 93710-6006
Mailing address
6556 W Fairmont Ave
Fresno, CA 93723-3000
Phone (419) 307-6480
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 |
|---|---|---|---|
| 49060 | CA | MD | Physical Therapy Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1821596222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6556 W FAIRMONT AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937233000",
"telephone_number": "419-307-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106006",
"telephone_number": "559-439-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCIAS",
"first_name": "KRISTINA FAITH",
"middle_name": "ESCLARES",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "49060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.