Jose Villanueva, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

000002402 Issued in TN

Practice address

101 Med Tech Pkwy
Suite 200
Johnson City, TN 37604-4007

Phone

(423) 232-6120

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialists in Pain Management, PLLC Dba Spine and Pain AssociatesGroup PAC ID 1355253659, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.villaneuva.1@30188.direct.athenahealth.com

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

• Specialists in Pain Management, PLLC Dba Spine & Pain Associates

  • Interventional Pain Medicine Physician
  • Chattanooga, TN
  • NPI 1447203922
  Medicare reassignment Care Compare group NPD
• Pain Medicine Associates, P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Johnson City, TN
  • NPI 1477594364
  Medicare reassignment NPD
• Pain Medicine Associates, P.C.

  • Psychologist
  • Johnson City, TN
  • NPI 1962655696
  NPD
• Specialists in Pain Management, PLLC Dba Spine & Pain Associates

  • Prosthetic/Orthotic Supplier
  • Cleveland, TN
  • NPI 1134872922
  NPD

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013944602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY",
            "address_2": "SUITE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044007",
            "telephone_number": "423-232-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY",
            "address_2": "SUITE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044007",
            "telephone_number": "423-232-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "JOSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "000002402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0089600",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Vick, MD
• Victory Orthotics & Prosthetics LLC
• Victory Vision, PLLC
• Meaghan Marie Viggiani, MA
• Michael Bryanne Villalba
• Juan Carlos Simon Villegas Gomez, ATC
• Elizabeth A Villier, CRNA
• Alexa Marie Vincent, NP
• Rachael Marie Vines, BS
• Elizabeth M. Virost, FNP

• Physical Medicine & Rehabilitation Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.