Jiselle Bascos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5713 Issued in NM

Practice address

200 W 1St St Ste 527
Roswell, NM 88203-4676

Phone

(575) 840-3879

Fax

(866) 337-2718

NPI assigned

Jan 5, 2022

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1356002091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8188",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882028188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST STE 527",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034676",
            "telephone_number": "575-840-3879",
            "fax_number": "866-337-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCOS",
        "first_name": "JISELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Barrera
• Abril Michelle Barrientos Carrillo
• Isabel Barrientos
• Jose O Barron Jr., ATC, LAT
• Colby Barton, OD
• Christina Bates
• Balazs Batyka, LCSW
• Katherine Ashley Baugh, M.D.
• Bca Medical Associates, PA
• Alexandra Beck

• Physical Therapist in Roswell, NM
• Providers in Roswell, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.