Andres Juarez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2165223 Issued in TX

Practice address

13915 Burnet Rd Ste 204
Austin, TX 78728-6537

Phone

(512) 583-3792

NPI assigned

Feb 7, 2022

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1295489417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 W 18TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797635011",
            "telephone_number": "432-295-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13915 BURNET RD STE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286537",
            "telephone_number": "512-583-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "ANDRES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2165223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyous Home Healthcare Services, LLC
• Jrnys Medical, P.a.
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• JT Senior Care, LLC (Home Instead Senior Care)
• Edith Juanah, MS, LPC-A, ATR-P
• Calli Juarez
• Deborah Juarez
• Jessica Kristen Juarez, AU.D.
• Lauren C Juarez, CPNP-PC
• Jamie K Judd-Wall, ATP, BCBA

• Physical Therapy Assistant in Austin, TX
• Providers in Austin, 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 Feb 7, 2022; 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.