Roque F Estipona Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4215 Issued in TN

Practice address

2552 Poplar Ave
Suite 403
Memphis, TN 38112-3852

Phone

(901) 323-1196

Fax

(901) 323-1197

NPI assigned

Aug 4, 2006

Sex

Male

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.

• Rehabmed Physical Therapy & Wellness Services, PC

  • Physical Therapist
  • Memphis, TN
  • NPI 1750399820
  NPD (past)
• Rehad Med Physical Therapy and Wellness Services, P.C.

  • Specialist
  • Memphis, TN
  • NPI 1275646564
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831107804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 POPLAR AVE",
            "address_2": "SUITE 403",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123852",
            "telephone_number": "901-323-1196",
            "fax_number": "901-323-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 POPLAR AVE",
            "address_2": "SUITE 403",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123852",
            "telephone_number": "901-323-1196",
            "fax_number": "901-323-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTIPONA",
        "first_name": "ROQUE",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "4215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Estes-Byrd, LMSW
• Emily Marie Estes, MD
• Hannah Makenzie Estes, MD
• Mackaria Estes, LCSW
• Maria Cecilia Posada Estipona, PT
• Cynthia Etheridge, NP
• Ian Etheridge, PHARMD
• Pamela Marie Etherington
• Debra Ann Ethridge, PHARM. D
• Melissa Ruth Ethridge, LPC-MHSP

• Physical Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.