Individual provider Active NPI

Rachel Ortigo Jillson, PT

  • Orthopedic Physical Therapist
  • Plano, TX
National Provider Identifier
1306937073
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1162302 Issued in TX
Practice address
1101 Ohio Dr
Ste 110
Plano, TX 75093-5330
Phone
(972) 985-2622
NPI assigned
Sep 27, 2006
Last updated
Dec 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1162302 TX Primary

Addresses

Primary practice location

1101 Ohio Dr
Ste 110
Plano, TX 75093-5330

Mailing address

6302 Windcrest Dr
Apt. 734
Plano, TX 75024-3006
Phone (972) 985-2622

Other identifiers 1

IdentifierTypeStateIssuer
8T4876OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070926001069 LA Practitioner - Physical Therapist in Private Practice 6901823129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1162302TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Orthopaedic Clinic CurrentSince Jan 30, 2017 Accepting new patients
Baton Rouge Orthopaedic Clinic, LLC Physical Therapist Current Accepting new patients
Metdalspi, LLC Past Accepting new patients
Outpatient Sports and Spine Rehabilitation. LLC PastSince Aug 18, 2003 Accepting new patients

Locations

8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633

8080 Bluebonnet Blvd
Ste 110
Baton Rouge, LA 70810
Phone (225) 408-7990

4920 Church St
Ste E
Zachary, LA 70791
Phone (225) 570-2443

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1306937073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 WINDCREST DR",
            "address_2": "APT. 734",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243006",
            "telephone_number": "972-985-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OHIO DR",
            "address_2": "STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935330",
            "telephone_number": "972-985-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILLSON",
        "first_name": "RACHEL",
        "middle_name": "ORTIGO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1162302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T4876",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.