Individual provider Active NPI

Theresa Festo, PT

  • Physical Therapist
  • Key West, FL
National Provider Identifier
1992774632
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10757 Issued in FL
Practice address
925 Toppino Dr
Key West, FL 33040
Phone
(305) 296-2212
Fax
(305) 296-2209
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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 10757 FL Primary

Addresses

Primary practice location

925 Toppino Dr
Key West, FL 33040

Mailing address

925 Toppino Dr
Key West, FL 33040-4269
Phone (305) 296-2212

Other practice location 1

925 Toppino Dr
Key West, FL 33040
Phone (305) 296-2212

Other practice location 2

3156 Northside Dr
Key West, FL 33040-8024
Phone (305) 292-1805

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

LicenseStateTypeSpecialty
10757FLMDPhysical Therapist

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1992774632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 TOPPINO DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404269",
            "telephone_number": "305-296-2212",
            "fax_number": "305-296-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 TOPPINO DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-296-2212",
            "fax_number": "305-296-2209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Toppino Dr",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "33040",
            "country_code": "US",
            "telephone_number": "305-296-2212",
            "fax_number": "305-296-2209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3156 Northside Dr",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330408024",
            "country_code": "US",
            "telephone_number": "305-292-1805",
            "fax_number": "305-292-9350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FESTO",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "10757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.