Individual provider Active NPI

Jeannette Guillen Botello

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1295385185
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1321806 Issued in TX
Practice address
5810 E Sam Houston Pkwy N
Houston, TX 77049-2528
Phone
(281) 459-9134
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1321806 TX Primary

Addresses

Primary practice location

5810 E Sam Houston Pkwy N
Houston, TX 77049-2528

Mailing address

5810 E Sam Houston Pkwy N
Houston, TX 77049-2528

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JGuillenBotello@selectmedical.com Direct

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Xcell Orthopaedics Institute of Sports Performance, LLC CurrentSince Apr 19, 2021 Accepting new patients
Select Physical Therapy Texas Limited Partnership Past Accepting new patients
Xcell Orthopaedics Institute of Sports Performance & Rehab PastSince Apr 19, 2021 Accepting new patients

Locations

2001 S D St
McAllen, TX 78503
Phone (956) 375-2216

1512 E Griffin Pkwy
Ste 10
Mission, TX 78572
Phone (956) 375-2216

Interoperability endpoints

  • Direct secure messaging: jguillenbotello@selectmedical.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1295385185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 E SAM HOUSTON PKWY N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 E SAM HOUSTON PKWY N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492528",
            "telephone_number": "281-459-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN BOTELLO",
        "first_name": "JEANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1321806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JGuillenBotello@selectmedical.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5810 E Sam Houston Pkwy N",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770492528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.