MS. ELISABETH FEDERICO (NPI# 1124101415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124101415 |
| Entity Type | Individual |
| Full Name | MS. ELISABETH FEDERICO |
| Credential | PT |
| Practice Address |
3615 Oak St Jacksonville FL 32205-9021 |
| Practice Telephone | 9047104491 |
| Mailing Telephone | 9047104491 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT5608 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3615 OAK ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32205-9021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
| 1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
| 1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
| 1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
| 1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
| 1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
| 1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
| 1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
| 1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
| 1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
| Find all providers in zip 32205 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957298 | Intentional Play, Inc | Physical Therapist | 4712 Marsh Hammock Dr W, Jacksonville, FL 32224-1858 | 2016-12-26 |
| 1013008838 | All God's Children Therapy Center | Physical Therapist | 500 West Hickory, Jacksonville, AR 72076-3570 | 2006-09-27 |
| 1750373114 | Eileen C Davies | Physical Therapist | 249 Orange Ave, Jacksonville, FL 32259-4215 | 2005-08-21 |
| 1467817239 | Gregory Meyer | Physical Therapist | 2701 T P White Dr, Jacksonville, AR 72076-2514 | 2015-12-22 |
| 1003284316 | Jessica Dailey | Physical Therapist | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2015-09-03 |
| 1558775767 | Jaimie Kuhn Zaharewicz | Physical Therapist | 7749 Normandy Blvd, Suite 147, Jacksonville, FL 32221-7657 | 2014-06-16 |
| 1124432604 | Meghan Elizabeth Rowey | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4251 | 2014-06-12 |
| 1144570169 | Melissa Newman | Physical Therapist | 14785 Old Saint Augustine Rd, Jacksonville, FL 32258-2496 | 2012-09-17 |
| 1073832200 | Rachel West Kempfert | Physical Therapist | 14785 Old Saint Augustine Rd, Jacksonville, FL 32258-2496 | 2010-05-27 |
| 1174857296 | Janet Oehl | Physical Therapist | 410 New Bridge St, Suite 10-a, Jacksonville, NC 28540-4739 | 2009-09-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32205 |
Please comment or provide details below to improve the information on MS. ELISABETH FEDERICO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.