Jennifer Chavez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2625 Issued in NM

Practice address

10427 Crosscut Dr NW
Albuquerque, NM 87114-5630

Phone

(505) 280-0343

NPI assigned

Mar 21, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restoration of Movement, LLC

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1891471439
  NPD Authorized official

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1174898241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10427 CROSSCUT DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145630",
            "telephone_number": "505-280-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10427 CROSSCUT DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145630",
            "telephone_number": "505-280-0343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 Commons Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871095832",
            "country_code": "US",
            "telephone_number": "505-345-9599 x4",
            "fax_number": "505-998-4206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacklyn Chavez, PA-C
• Jacob Chavez
• Jacqueline Chavez
• Jazmine Chavez, RDH
• Jennifer Chavez
• Jennifer Ann Chavez
• Jennifer E Chavez, M.A. E.D.
• Jessica Chavez, MS, CCC-SLP
• Joann Chavez
• Jonathan Chavez, R.T. (R)(CT)

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; 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.