Carlos Jesus Janzen, P.T.A.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PTA22746 Issued in FL

Practice address

15204 W Colonial Dr
Winter Garden, FL 34787-6042

Phone

(407) 877-2394

NPI assigned

Jan 23, 2012

Last updated

Jan 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1043581010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 CALIBRE CREST PKWY APT 204",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143635",
            "telephone_number": "407-484-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15204 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876042",
            "telephone_number": "407-877-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANZEN",
        "first_name": "CARLOS",
        "middle_name": "JESUS",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PTA22746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usha Jadonath, LMHC
• Denice Jahreis
• Walter James
• Walter James II
• Jeffrey Lamar-Co January Jr.
• Sunil Jariwala, RPH
• Jasmine Levette Jarrett, NP-C
• Gretell Ivelyn Jaspe, OTR/L
• Donya Javeshghani, MD
• JC Morris LLC

• Skilled Nursing Facility in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.