Nicolette Danielle Munoz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2132920 Issued in TX

Practice address

1110 S Stewart Rd Ste D
San Juan, TX 78589-5168

Phone

(956) 283-7555

NPI assigned

Jan 29, 2018

Last updated

Jan 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Rehability Therapy Center LLC

  dba Life Skills Therapy Center of San Juan

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • San Juan, TX
  • NPI 1992945406
  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1255839866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 LYNN DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397042",
            "telephone_number": "512-589-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S STEWART RD STE D",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785895168",
            "telephone_number": "956-283-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "NICOLETTE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2132920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD LICENSE",
            "identifier": "2132920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julio Cesar Morales, FNP
• Ricardo Moreno
• Karina Muniz I
• Benito Munoz Jr., MSN, APRN, FNP-BC
• Exzita Anthony Munoz
• My Provider
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Jessica Nava, RN
• Nelson a Mata
• New Hope Education and Prevention Services LLC

• Physical Therapy Assistant in San Juan, TX
• Providers in San Juan, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.