Active NPI
Natividad Perez de Jesus, PT
- Physical Therapist
- Barceloneta, PR
National Provider Identifier
1023238656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1241
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1241 | PR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luz C Butler Moya | Physical Therapist | Past | Accepting new patients |
| Clinica de Terapia Fisica Y Rehabilitacion Genesis LLC | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Quebradillas, PR
- NPI 1386464600
Physical Therapist
-
- Physical Therapist
- Barceloneta, PR
- NPI 1609985621
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.