Chris Jay Jalando-on Tabarejo, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1217320 Issued in TX

Practice address

2483 2ND St
Suite B
Eagle Pass, TX 78852-4390

Phone

(830) 776-5191

Fax

(830) 776-5520

NPI assigned

Jul 9, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1104181833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 COLORADO ST",
            "address_2": "APARTMENT G",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524059",
            "telephone_number": "954-806-6948",
            "fax_number": "866-676-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 2ND ST",
            "address_2": "SUITE B",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524390",
            "telephone_number": "830-776-5191",
            "fax_number": "830-776-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAREJO",
        "first_name": "CHRIS JAY",
        "middle_name": "JALANDO-ON",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1217320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104181833",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Texas Optical
• St. Isabel Home Health Incorporation
• Superior Home Health of Eagle Pass, LLC
• Superior Plus Ambulance LLC
• Sylvia Juniette Salazar
• Marvic Maria Taborda Alvarez
• Taryn Turner D.O., P.a.
• Kalyani Tatineni
• Texas Durable Medical Equipment, Inc
• Theo Inpatient Services

• Physical Therapist in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.