Active NPI
Jessica N. Hontiveros, DPT
- Physical Therapist
- Fountain Hills, AZ
National Provider Identifier
1073512737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10614
- Practice address
- 16455 E Avenue of the Fountains
Fountain Hills
Fountain Hills, AZ 85268-8307 - Phone
- (480) 837-2023
- Fax
- (480) 837-2072
- NPI assigned
- Jul 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204340 | VA | |
| Physical Therapist | 225100000X | 10614 | AZ | Primary |
Addresses
Primary practice location
16455 E Avenue of the Fountains
Fountain Hills
Fountain Hills, AZ 85268-8307
Mailing address
115 Jefferson Hwy
Louisa
Louisa, VA 23093-6563
Phone (540) 367-1757
Other names 1
- Jessica N. Caparas
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204340 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Services of Virginia Inc. | Physical Therapist | Past | Accepting new patients |
| Orange Physical Therapy | 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 Therapist
- Orange, VA
- NPI 1962519777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1073512737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 JEFFERSON HWY",
"address_2": "LOUISA",
"city": "LOUISA",
"state": "VA",
"postal_code": "230936563",
"telephone_number": "540-367-1757",
"fax_number": "540-967-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16455 E AVENUE OF THE FOUNTAINS",
"address_2": "FOUNTAIN HILLS",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852688307",
"telephone_number": "480-837-2023",
"fax_number": "480-837-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONTIVEROS",
"first_name": "JESSICA",
"middle_name": "N.",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204340",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "CAPARAS",
"middle_name": "N.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.