Ma Grace Espinas

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01305000 Issued in NJ

Practice address

15-01 Broadway
Suite 30a
Fair Lawn, NJ 07410-6003

Phone

(201) 703-7107

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ma Grace Tagalog Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1922300326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MADISON AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041309",
            "telephone_number": "551-358-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "SUITE 30A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-703-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINAS",
        "first_name": "MA GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01305000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA GRACE",
            "last_name": "TAGALOG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Erenthal, MS, LAC
• Suzanne Erickson, SLP
• Pavel Erushalimski
• Christina Tamar Escanio, MHC
• Jellian S Escobar
• Mfon Essiet
• Sabrina Grace Estevez, DPT
• Elena L Estrin, LAC
• Lauren Marie Ettore, OTR/L
• Tiffany Evangelou

• Orthopedic Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.