Jacquelyn Eileen Juarez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2152244 Issued in TX

Practice address

2500 State Highway 121 Apt 323
Euless, TX 76039-6008

Phone

(940) 366-9486

NPI assigned

Feb 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jacquelyn Eileen Juarez Other name

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1538792254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STATE HIGHWAY 121 APT 323",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760396008",
            "telephone_number": "940-366-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STATE HIGHWAY 121 APT 323",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760396008",
            "telephone_number": "940-366-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "JACQUELYN",
        "middle_name": "EILEEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2152244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "JUAREZ",
            "middle_name": "EILEEN",
            "prefix": "MRS.",
            "credential": "JACKIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Aaron Johnson, DC
• Lafonya Jones-Hines, PSYD, LPC
• Aja Danielle Jones, LPC
• Cherice C Jones, OTR/L
• Tavian Jones, DC
• Gauri Junnarkar, RD
• Lisa Michelle Kaiser
• Joel Kaputa Kalimba
• Benjamin Ndiku Kamwela
• Julia Hyunjoo Kang, DMD

• Physical Therapy Assistant in Euless, TX
• Providers in Euless, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.