Individual provider Active NPI

Jesus M Pabon, P.T.

  • Physical Therapist
  • Winter Haven, FL
National Provider Identifier
1326014473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12783 Issued in FL
Practice address
950 1St St S
Sports and Ortho Rehab Team
Winter Haven, FL 33880-3665
Phone
(863) 293-7778
Fax
(863) 299-3836
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT12783 FL Primary

Addresses

Primary practice location

950 1St St S
Sports and Ortho Rehab Team
Winter Haven, FL 33880-3665

Mailing address

58 Saint Kitts Cir
Winter Haven, FL 33884-3500
Phone (863) 325-8233

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

State licenses

LicenseStateTypeSpecialty
PT12783FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bond Urgent Care LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jesus.pabon.p1@direct.bondclinicpa.nextgenshare.com

Organizations & group practices 1

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326014473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SAINT KITTS CIR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843500",
            "telephone_number": "863-325-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 1ST ST S",
            "address_2": "SPORTS AND ORTHO REHAB TEAM",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803665",
            "telephone_number": "863-293-7778",
            "fax_number": "863-299-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABON",
        "first_name": "JESUS",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.