Active NPI
Jose D Valencia, PT
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1043624604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20709
- Practice address
- 212 Brighton F
Boca Raton, FL 33434-2995 - Phone
- (561) 929-1499
- NPI assigned
- Jun 11, 2014
- Sex
- Male
- 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 | PT20709 | FL | Primary |
Addresses
Primary practice location
212 Brighton F
Boca Raton, FL 33434-2995
Mailing address
212 Brighton F
Boca Raton, FL 33434-2995
Phone (561) 929-1499
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1043624604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 BRIGHTON F",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342995",
"telephone_number": "561-929-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 BRIGHTON F",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342995",
"telephone_number": "561-929-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "JOSE",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.