Jiselle S Urbano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60124596 Issued in WA

Practice address

1133 N Grape Dr
B204
Moses Lake, WA 98837-4052

Phone

(509) 750-1549

NPI assigned

Dec 21, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1487983532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N GRAPE DR",
            "address_2": "B204",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374047",
            "telephone_number": "509-750-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N GRAPE DR",
            "address_2": "B204",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374052",
            "telephone_number": "509-750-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANO",
        "first_name": "JISELLE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "7535059-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60124596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Tuszynski, MD
• Tyrone F. Rodriguez, D.D.S., P.L.L.C.
• Keith M Ulnick, DO
• Amy Umberger, MSW
• United Backcare PS
• Brooke Valdez, MS, BS, CAAL
• Izabella Valdez
• Mitchell David Valente, PA-C
• Melissa Vallejo
• Valley Eye and Vision Clinic PLLC

• Physical Therapist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.