Mary Grace Espiritu, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40QA00794700 Issued in NJ

Practice address

67 Gordon Ave
Tenafly, NJ 07670-1530

Phone

(917) 326-1960

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• House Physician Partners, PC

  • Hospitalist Physician
  • Teaneck, NJ
  • NPI 1457377806
  Medicare reassignment NPD
• Primary Care of Oradell

  • Physical Therapy Assistant
  • Teaneck, NJ
  • NPI 1831575406
  Medicare reassignment NPD

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1861004145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 GORDON AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701530",
            "telephone_number": "917-326-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 GORDON AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701530",
            "telephone_number": "917-326-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPIRITU",
        "first_name": "MARY GRACE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA00794700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eila El on Koren, CCC-SLP
• Elite Hospice Care LLC
• Elite Medical Supplies, LLC
• Avigayil Elkin, MD
• Englewood Imaging Center, PA
• Keren Faber Baumel
• Wayne Todd Faber, DMD
• Family & Natural Medicine PC
• Family of Caring Healthcare at Tenafly, LLC
• Rebecca Farber, MD

• Physical Therapist in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.