Individual provider Active NPI

Nadezna Joelle Ricaplaza Valerio, PT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1699497909
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307989 Issued in CA
Practice address
1200 Wilshire Blvd Ste 401
Los Angeles, CA 90017-1919
Phone
(213) 481-1515
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 013414 NY
Physical Therapist 225100000X 307989 CA Primary
Physical Therapist 225100000X 049195 NY

Addresses

Primary practice location

1200 Wilshire Blvd Ste 401
Los Angeles, CA 90017-1919

Mailing address

1200 Wilshire Blvd Ste 401
Los Angeles, CA 90017-1919
Phone (213) 481-1515

Other identifiers 1

IdentifierTypeStateIssuer
067747417OtherCAUSCIS

Other names 1

  • Nadezna Joelle Valerio Punongbayan Other name

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

State licenses

LicenseStateTypeSpecialty
013414NYMDChiropractor
307989CAMDPhysical Therapist
049195NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Felix R Canout Rehabilitation Services, Inc CurrentSince May 18, 2025 Accepting new patients

Locations

1200 Wilshire Blvd
Ste 401
Los Angeles, CA 90017
Phone (213) 481-1515

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.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1699497909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WILSHIRE BLVD STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171919",
            "telephone_number": "213-481-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WILSHIRE BLVD STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171919",
            "telephone_number": "213-481-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIO",
        "first_name": "NADEZNA JOELLE",
        "middle_name": "RICAPLAZA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013414",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307989",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USCIS",
            "identifier": "067747417",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADEZNA JOELLE",
            "last_name": "PUNONGBAYAN",
            "middle_name": "VALERIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.