Active NPI
Victoria A Jaramillo, DPT
- Physical Therapist
- Kent, WA
National Provider Identifier
1134824204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0018831
- Practice address
- 25012 104TH Ave SE Ste C
Kent, WA 98030-2821 - Phone
- (253) 856-3477
- Fax
- (253) 856-3478
- NPI assigned
- Mar 30, 2023
- 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 | PTL.0018831 | CO | Primary |
| Physical Therapist | 225100000X | 049235 | NY |
Addresses
Primary practice location
25012 104TH Ave SE Ste C
Kent, WA 98030-2821
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
25 Melrose Rd
Dix Hills, NY 11746-5610
Phone (917) 363-8217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 88.06
- Improvement activities
- 40
- Cost
- 76.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0018831 | CO | MD | Physical Therapist |
| 049235 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1134824204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25012 104TH AVE SE STE C",
"city": "KENT",
"state": "WA",
"postal_code": "980302821",
"telephone_number": "253-856-3477",
"fax_number": "253-856-3478"
}
],
"practiceLocations": [
{
"address_1": "25 Melrose Rd",
"address_purpose": "LOCATION",
"city": "Dix Hills",
"state": "NY",
"postal_code": "117465610",
"country_code": "US",
"telephone_number": "917-363-8217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARAMILLO",
"first_name": "VICTORIA",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-30",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0018831",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049235",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.