Active NPI
Kristina Marie Jimenez, LMT
- Specialist
- Mesa, AZ
National Provider Identifier
1538360474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 801 S Power Rd
Ste 112
Mesa, AZ 85206-5207 - Phone
- (480) 641-6600
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
801 S Power Rd
Ste 112
Mesa, AZ 85206-5207
Mailing address
14242 E Buffalo St
Gilbert, AZ 85296-5904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthwest Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Mesa, AZ
- NPI 1730191016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538360474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14242 E BUFFALO ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852965904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S POWER RD",
"address_2": "STE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "852065207",
"telephone_number": "480-641-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.