Jessica Marie Valle, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1198702 Issued in TX

Practice address

3201 Cherry Ridge St Ste D400
San Antonio, TX 78230-4820

Phone

(210) 692-0222

Fax

(210) 692-0223

NPI assigned

Apr 29, 2014

Last updated

Jul 5, 2019By the provider in NPPES

Sex

Female

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

Practice roles

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.

• Pediatric Action Therapy, LLC

  • Behavior Analyst
  • Boerne, TX
  • NPI 1477875656
  NPD (past)

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1427468511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 CHARLES FLD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383023",
            "telephone_number": "210-219-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST STE D400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304820",
            "telephone_number": "210-692-0222",
            "fax_number": "210-692-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Der Flugplatz",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780068661",
            "country_code": "US",
            "telephone_number": "954-540-1360",
            "fax_number": "830-755-6525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1198702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaneesha Vallabh-Patel, D.O
• Alberto Aristides Vallarino Samaniego, MD
• Eduardo Valle
• Hannah Marie Valle
• Jennifer Nicole Valle
• Jose Julian Valle, MD
• Vallecare, L.L.C.
• Kevin Vallecillos, DPT
• Sergio Andres Vallejo Avila, MD
• Asenet Vallejo, BCBA

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.