Active NPI
Jessica Carrion, PTA
- Physical Therapy Assistant
- Carolina, PR
National Provider Identifier
1255945598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3076
- Practice address
- Via 16 Villa Fontana
Jr 8
Carolina, PR 00983 - Phone
- (939) 339-6102
- NPI assigned
- Sep 3, 2020
- Last updated
- Apr 30, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 3076 | PR | |
| Physical Therapy Assistant | 225200000X | 3076 | PR | Primary |
Addresses
Primary practice location
Via 16 Villa Fontana
Jr 8
Carolina, PR 00983
Mailing address
Calle Rufina Castillo
507
Las Piedras, PR 00771
Phone (787) 217-7404
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 |
|---|---|---|---|
| 3076 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1255945598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE RUFINA CASTILLO",
"address_2": "507",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771",
"telephone_number": "787-217-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VIA 16 VILLA FONTANA",
"address_2": "JR 8",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "939-339-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRION",
"first_name": "JESSICA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2024-04-30",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "PR",
"license": "3076",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PR",
"license": "3076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.