Active NPI
Elizabeth Grace Sotolongo, PTA
- Physical Medicine & Rehabilitation Physician
- Hialeah, FL
National Provider Identifier
1841873833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PTA31054
- Practice address
- 5021 W 6TH Ave
Hialeah, FL 33012-3833 - Phone
- (305) 558-1203
- Fax
- (305) 558-1213
- NPI assigned
- Apr 28, 2021
- Last updated
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Medicine & Rehabilitation Physician | 208100000X | PTA31054 | FL | Primary |
Addresses
Primary practice location
5021 W 6TH Ave
Hialeah, FL 33012-3833
Mailing address
6100 E 2ND Ave
Hialeah, FL 33013-1009
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | esotolongo@corahealth.com | Direct | CORA Health Services Inc |
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 |
|---|---|---|---|
| PTA31054 | FL | MD | Physical Medicine & Rehabilitation Physician |
Interoperability endpoints
- esotolongo@corahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1841873833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 E 2ND AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330131009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5021 W 6TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123833",
"telephone_number": "305-558-1203",
"fax_number": "305-558-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTOLONGO",
"first_name": "ELIZABETH",
"middle_name": "GRACE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "PTA31054",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "esotolongo@corahealth.com",
"affiliation": "Y",
"endpointDescription": "Company Email",
"affiliationName": "CORA Health Services Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5021 W 6th Ave",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "33012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.