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1528496692 NPI number — JEFFREY ROBERT ESPINOZA D.P.T.

NPI Number: 1528496692
Health Care Provider/Practitioner: JEFFREY ROBERT ESPINOZA D.P.T.

Information about “1528496692” NPI (JEFFREY ROBERT ESPINOZA D.P.T.) exists in 1528496692 in HTML format HTML  |  1528496692 in plain Text format TXT  |  1528496692 in PDF (Portable Document Format) PDF  |  1528496692 in an XML format XML  formats.

NPI Number : 1528496692 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528496692",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ESPINOZA",
    "FirstName": "JEFFREY",
    "MiddleName": "ROBERT",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "88-02 107TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OZONE PARK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11417",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-541-1693",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8802 107TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OZONE PARK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11417-1345",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-541-1693",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/28/2013",
    "LastUpdateDate": "10/28/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2251S0007X",
          "TaxonomyName": "Sports Physical Therapist",
          "LicenseNumber": "035172-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2251X0800X",
          "TaxonomyName": "Orthopedic Physical Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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