Emma Mendoza Basco, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 10670 Issued in FL

Practice address

13719 Dallas Dr
Hudson, FL 34667-7133

Phone

(727) 862-6795

NPI assigned

Oct 22, 2013

Last updated

Oct 22, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1902234313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6462 COVEWOOD DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091114",
            "telephone_number": "352-596-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13719 DALLAS DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677133",
            "telephone_number": "727-862-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCO",
        "first_name": "EMMA",
        "middle_name": "MENDOZA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 10670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erick Barnard, DO
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• Robin Adkins Barrett
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• Virna Liza Javelosa Barte, PT
• Dawnlee Basile-Wood, M.A.
• Kevin Bass
• Dianne Yvonne Bayer, C.R.N.A.
• Bayonet Opco, LLC (Nursing & Rehabilitation Center of Bayonet Point)
• Bayonet Point Cardiac Surgical Associates

• Physical Therapist in Hudson, FL
• Providers in Hudson, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.