Individual provider Active NPI

Jizzyan Marie Gesualdo, PT, DPT

  • Physical Therapist
  • Ponce, PR
National Provider Identifier
1285543579
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004692 Issued in PR
Practice address
Ave. Tito Castro 917 Building a Floor 4
Ponce, PR 00732-7064
Phone
(787) 601-1465
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004692 PR Primary

Addresses

Primary practice location

Ave. Tito Castro 917 Building a Floor 4
Ponce, PR 00732-7064

Mailing address

Hacienda la Matilde
5128 Trapiche
Ponce, PR 00728-2425
Phone (787) 601-1465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1285543579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACIENDA LA MATILDE",
            "address_2": "5128 TRAPICHE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282425",
            "telephone_number": "787-601-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. TITO CASTRO 917 BUILDING A FLOOR 4",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327064",
            "telephone_number": "787-601-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESUALDO",
        "first_name": "JIZZYAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "004692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.