Individual provider Active NPI

Sanjuanita Prado Cimijotti, PT

  • Physical Therapist
  • Brownsville, TX
National Provider Identifier
1740933928
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1287800 Issued in TX
Practice address
2952 Boca Chica Blvd
Brownsville, TX 78521-3506
Phone
(956) 243-8888
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1287800 TX Primary

Addresses

Primary practice location

2952 Boca Chica Blvd
Brownsville, TX 78521-3506

Mailing address

1901 El Cielo Lindo CT
Harlingen, TX 78552-2104
Phone (956) 693-1285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415002579 TX Practitioner - Physical Therapist in Private Practice 7012483225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Rehab LLCGroup PAC ID 5597134494, 4 clinicians

Practice addresses (Care Compare)

309 S Stuart Place Rd
Harlingen, TX 78552-6447
Phone (956) 230-2431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1287800TXMDPhysical Therapist

Organizations & group practices 2

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1740933928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 EL CIELO LINDO CT",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785522104",
            "telephone_number": "956-693-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 BOCA CHICA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213506",
            "telephone_number": "956-243-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMIJOTTI",
        "first_name": "SANJUANITA",
        "middle_name": "PRADO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1287800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.