Individual provider Active NPI

Judith Espenilla, PT

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1861763492
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8430 Issued in FL
Practice address
7814 Oak Grove Cir
Lake Worth, FL 33467-7121
Phone
(561) 963-9247
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT8430 FL Primary

Addresses

Primary practice location

7814 Oak Grove Cir
Lake Worth, FL 33467-7121

Mailing address

7814 Oak Grove Cir
Lake Worth, FL 33467-7121
Phone (561) 963-9247

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
PT8430FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1861763492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 OAK GROVE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677121",
            "telephone_number": "561-963-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7814 OAK GROVE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677121",
            "telephone_number": "561-963-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPENILLA",
        "first_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.