Active NPI
Moonyeen Eguia
- Physical Therapist
- Coral Springs, FL
National Provider Identifier
1902141211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.018956
- Practice address
- 5800 W Sample Rd
Coral Springs, FL 33067-3234 - Phone
- (773) 750-2347
- NPI assigned
- Nov 28, 2012
- 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 Therapist | 225100000X | 070.018956 | IL | Primary |
Addresses
Primary practice location
5800 W Sample Rd
Coral Springs, FL 33067-3234
Mailing address
5357 Wright Ter
Skokie, IL 60077-2073
Phone (773) 849-3086
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.018956 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1902141211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5357 WRIGHT TER",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772073",
"telephone_number": "773-849-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 W SAMPLE RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330673234",
"telephone_number": "773-750-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGUIA",
"first_name": "MOONYEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-28",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.018956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.