Individual provider Active NPI

Natividad Perez de Jesus, PT

  • Physical Therapist
  • Barceloneta, PR
National Provider Identifier
1023238656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1241 Issued in PR
Practice address
Carr #2 KM 55.2 Bo Palenque
Barceloneta, PR 00617
Phone
(787) 846-4121
Fax
(787) 846-5661
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1241 PR Primary

Addresses

Primary practice location

Carr #2 KM 55.2 Bo Palenque
Barceloneta, PR 00617

Mailing address

PO Box 1195
Quebradillas, PR 00678-1195
Phone (787) 566-4721

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1241PRMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Luz C Butler Moya Physical Therapist Past Accepting new patients
Clinica de Terapia Fisica Y Rehabilitacion Genesis LLC Physical Therapist PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023238656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1195",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781195",
            "telephone_number": "787-566-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 55.2 BO PALENQUE",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-846-4121",
            "fax_number": "787-846-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DE JESUS",
        "first_name": "NATIVIDAD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.