Jaime Inigo Flor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1250640 Issued in TX

Practice address

4135 S Broadway Ave
Tyler, TX 75701-8720

Phone

(903) 581-8662

Fax

(903) 581-7808

NPI assigned

Aug 21, 2018

Sex

Male

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

Practice roles

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.

• Performancepro Sports Medicine and Rehabilitation

  • Durable Medical Equipment & Medical Supplies
  • Tyler, TX
  • NPI 1063663227
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1396225124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018720",
            "telephone_number": "903-581-8662",
            "fax_number": "903-581-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018720",
            "telephone_number": "903-581-8662",
            "fax_number": "903-581-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8477 S Suncoast Blvd",
            "address_purpose": "LOCATION",
            "city": "Homosassa",
            "state": "FL",
            "postal_code": "344465028",
            "country_code": "US",
            "telephone_number": "352-382-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOR",
        "first_name": "JAIME",
        "middle_name": "INIGO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1250640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Fleemin, PA-C
• Sarah Proffer Fleming
• David King Fletcher, MD
• Lisa Fletcher
• Ravyn Fletcher
• Brittany Florczykowski, PHARMD
• Jesus Salvador Flores Banda, MD
• Jennifer Flores, APRN, FNP-C
• Lauren Flores
• Lesley Rubi Flores, DO

• Physical Therapist in Tyler, TX
• Providers in Tyler, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.