Active NPI
Jemuel Villarin
- Physical Therapist
- Waco, TX
National Provider Identifier
1235493644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1274856
- Practice address
- 6901 Medical Pkwy
Waco, TX 76712-7910 - Phone
- (254) 751-4000
- NPI assigned
- Jun 29, 2012
- Sex
- Male
- 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 | 070014894 | IL | |
| Physical Therapist | 225100000X | 1274856 | TX | Primary |
Addresses
Primary practice location
6901 Medical Pkwy
Waco, TX 76712-7910
Mailing address
105 Lily Turf CV
Georgetown, TX 78626-2305
Other practice location 1
111 Spring St
Streator, IL 61364-3332
Phone (815) 673-4549
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 |
|---|---|---|---|
| 070014894 | IL | MD | Physical Therapist |
| 1274856 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1235493644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 LILY TURF CV",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786262305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 MEDICAL PKWY",
"city": "WACO",
"state": "TX",
"postal_code": "767127910",
"telephone_number": "254-751-4000"
}
],
"practiceLocations": [
{
"address_1": "111 Spring St",
"address_purpose": "LOCATION",
"city": "Streator",
"state": "IL",
"postal_code": "613643332",
"country_code": "US",
"telephone_number": "815-673-4549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLARIN",
"first_name": "JEMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-29",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014894",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1274856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.