Jaime Ivan Flores, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1300956 Issued in TX

Practice address

2500 West Fwy Ste 100
Fort Worth, TX 76102-5850

Phone

(817) 335-3440

Fax

(817) 810-9669

NPI assigned

Dec 29, 2017

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1609383637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WEST FWY STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025850",
            "telephone_number": "817-335-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WEST FWY STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025850",
            "telephone_number": "817-335-3440",
            "fax_number": "817-810-9669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753905850",
            "country_code": "US",
            "telephone_number": "214-645-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JAIME",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-29",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1300956",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1300956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Delores Beserra Flores, CPNP
• Debra Lynda Flores
• Emily Flores, BCBA
• Evette Flores
• Felicitas Flores, SLP
• Janet Anahi Flores
• Jennifer Flores, MSN, APRN, FNP-C
• Jill Flores, M.S. CCC-SLP
• Jonathan Flores, PA
• Joshua Ryan Flores, PT, DPT

• Orthopedic Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.