Jeannie Ballejos

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0012452 Issued in CO

Practice address

2701 California St
Pueblo, CO 81004-3869

Phone

(719) 561-1300

NPI assigned

Sep 11, 2019

Last updated

Sep 11, 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1487203501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CALIFORNIA ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043869",
            "telephone_number": "719-561-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CALIFORNIA ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043869",
            "telephone_number": "719-561-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEJOS",
        "first_name": "JEANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA0012452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "savasenior.com",
            "affiliation": "N",
            "address_1": "2701 California St",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810043869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "savaseniorcare.com",
            "affiliation": "N",
            "address_1": "2701 California St",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810043869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jay A Balestrieri, NP
• Louis B Balizet, MD
• Elissa Ball, M.D.
• Michael E. Ball, M.D.
• Danette Ballard
• Danny C Ballenger, M.D.
• George E Balles, RPH
• Abigail Balliette
• Jeanette Ballman, RN
• Daniel Ballotti, PHARMD

• Physical Therapy Assistant in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.