Oscar Bryan Kelley Villanueva, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT18430 Issued in FL

Practice address

7530 103Rd St Ste 13
Jacksonville, FL 32210-6786

Phone

(904) 771-3679

Fax

(888) 231-3159

NPI assigned

Nov 1, 2006

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Physical Therapy LLCGroup PAC ID 7315097235, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.24 of 100Reported as group

Quality

80.47

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Access Physical Therapy, LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1942453105
  Medicare reassignment Care Compare group NPD
• Villacare LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1881771095
  NPD (past) Authorized official
• Access Physical Therapy LLC

  • Occupational Medicine Clinic/Center
  • Jacksonville, FL
  • NPI 1396106621
  NPD
• Monmouth Back & Neck Rehabilitation, LLC

  • Specialist
  • Manalapan, NJ
  • NPI 1922219963
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1164509378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 DEEDER COURT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322584209",
            "telephone_number": "904-880-6591",
            "fax_number": "904-880-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 103RD ST STE 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106786",
            "telephone_number": "904-771-3679",
            "fax_number": "888-231-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "OSCAR BRYAN",
        "middle_name": "KELLEY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Slott Villano, MD
• Armando Villanueva, MD
• Courtney Elizabeth Villanueva, PA-C
• Genesis B Villanueva, PT
• Karen Villanueva, LMHC
• Rosette Aileen Villanueva, APRN
• Ruel Villanueva
• Marla Vionette Villar, MD
• Ashlyn Villarreal
• Bruce Villas, MD

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.