Active NPI
Jennifer Jester Gondos, PT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1568520674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1180590
- Practice address
- 3360 Oakwell CT
San Antonio, TX 78218-3061 - Phone
- (210) 315-6056
- NPI assigned
- Dec 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 3997 | MS | |
| Physical Therapist | 225100000X | 1180590 | TX | Primary |
Addresses
Primary practice location
3360 Oakwell CT
San Antonio, TX 78218-3061
Mailing address
3360 Oakwell CT
San Antonio, TX 78218-3061
Phone (210) 315-6056
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 3997 | MS | MD | Physical Therapist |
| 1180590 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1568520674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3360 OAKWELL CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183061",
"telephone_number": "210-315-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3360 OAKWELL CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183061",
"telephone_number": "210-315-6056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONDOS",
"first_name": "JENNIFER",
"middle_name": "JESTER",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT 3997",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1180590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.