Eduardo Alberto Enriquez, P T PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004167 Issued in MI

Practice address

905 Dexter St
Milan, MI 48160-1160

Phone

(734) 439-8410

Fax

(734) 439-8430

NPI assigned

Jun 4, 2007

Last updated

Aug 18, 2010By the provider in NPPES

Sex

Male

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)

Enrolled

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.

• Eduardo a. Enriquez, P T PC

  dba Milan Physical Therapy

  • Physical Therapist
  • Milan, MI
  • NPI 1215974613
  Authorized official Same address or phone

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1992907794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5778 NEW MEADOW DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977164",
            "telephone_number": "734-439-8410",
            "fax_number": "734-439-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 DEXTER ST",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601160",
            "telephone_number": "734-439-8410",
            "fax_number": "734-439-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "EDUARDO",
        "middle_name": "ALBERTO",
        "credential": "P T  PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Duprey, LMSW
• Eduardo a. Enriquez, P T PC (Milan Physical Therapy)
• Jay Eichler, DPM
• Rebecca Elias, LLMSW
• Embodied Healing LLC
• Brittany Fenrich
• Sondra Kay Ferenczy
• Mandy Lynn Foster, CPHT
• Fountain Optometry, P.C.
• Kevin Michael Fountain, O.D.

• Physical Therapist in Milan, MI
• Providers in Milan, MI by specialty
• Physical Therapist in Michigan

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