Active NPI
Jimmy Pentinio Javier, PT
- Physical Therapist
- El Paso, TX
National Provider Identifier
1215414420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 192807
- Practice address
- 7116 Imperial Ridge Dr
El Paso, TX 79912-7204 - Phone
- (915) 203-3306
- NPI assigned
- Jul 20, 2018
- Last updated
- Jul 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 192807 | TX | Primary |
Addresses
Primary practice location
7116 Imperial Ridge Dr
El Paso, TX 79912-7204
Mailing address
7116 Imperial Ridge Dr
El Paso, TX 79912-7204
Phone (915) 203-3306
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
| License | State | Type | Specialty |
|---|---|---|---|
| 192807 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1215414420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7116 IMPERIAL RIDGE DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799127204",
"telephone_number": "915-203-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7116 IMPERIAL RIDGE DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799127204",
"telephone_number": "915-203-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVIER",
"first_name": "JIMMY",
"middle_name": "PENTINIO",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-20",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "192807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.