Active NPI
Janette Govea
- Physical Therapist
- Kissimmee, FL
National Provider Identifier
1023483260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 31041
- Practice address
- 3350 W Southport Rd
Kissimmee, FL 34746-2706 - Phone
- (407) 846-0152
- NPI assigned
- Dec 12, 2015
- Sex
- Female
- Sole proprietor
- No
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 | PT 31041 | FL | Primary |
Addresses
Primary practice location
3350 W Southport Rd
Kissimmee, FL 34746-2706
Mailing address
3350 W Southport Rd
Kissimmee, FL 34746-2706
Other names 1
- Janette Fuentes
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 |
|---|---|---|---|
| PT 31041 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services Inc | Past | Accepting new patients | |
| Cora Health Services, Inc | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Rehabilitation Clinic/Center
- Kissimmee, FL
- NPI 1598794141
-
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1023483260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 W SOUTHPORT RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347462706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 W SOUTHPORT RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347462706",
"telephone_number": "407-846-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOVEA",
"first_name": "JANETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-12",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 31041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANETTE",
"last_name": "FUENTES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.