Victoria Enomoto, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11496 Broadway
Crown Point, IN 46307-7106

Phone

(219) 213-2222

NPI assigned

Aug 28, 2018

Last updated

Feb 24, 2023By 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

• Victoria Connelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katiebug Therapy, LTD.

  • Speech-Language Pathologist
  • Naperville, IL
  • NPI 1487834461

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1952882755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419257",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11496 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077106",
            "telephone_number": "219-213-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2156 Deep Water Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605648507",
            "country_code": "US",
            "telephone_number": "630-904-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENOMOTO",
        "first_name": "VICTORIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "CONNELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arnolfo B Elman, M.D.
• Kaitlin Elsasser
• Said Elshity, RPT
• Laura Mae Emery, FNP
• Rachel Englert
• Andrew Eriks
• Samantha Esquivel, RBT
• Douglas Ryan Evenhouse, D.C.
• Everest Healthcare Indiana, Inc. (Fresenius Medical Care Crown Point)
• Matthew J Evon, MD

• Physical Therapist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.