Individual provider Active NPI

Jade Glenn Guieb Asuncion, DPT, PT

  • Physical Therapist
  • Visalia, CA
National Provider Identifier
1144065889
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294980 Issued in CA
Practice address
840 S Akers St
Visalia, CA 93277-8309
Phone
(559) 624-3700
NPI assigned
Jun 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 294980 CA
Physical Therapist 225100000X 294980 CA Primary

Addresses

Primary practice location

840 S Akers St
Visalia, CA 93277-8309

Mailing address

1134 E Country Ave
Visalia, CA 93292-1581
Phone (575) 649-3086

Other practice location 1

1134 E Country Ave
Visalia, CA 93292-1581
Phone (559) 731-1585

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
294980CAMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
More About You Physical Therapy and Wellness Corp PastSince Jun 30, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1144065889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 E COUNTRY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932921581",
            "telephone_number": "575-649-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778309",
            "telephone_number": "559-624-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1134 E Country Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932921581",
            "country_code": "US",
            "telephone_number": "559-731-1585",
            "fax_number": "855-551-3927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASUNCION",
        "first_name": "JADE GLENN",
        "middle_name": "GUIEB",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "294980",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.