Rosa Victoria Balcos Javaluyas, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028012 Issued in NY

Practice address

6560 Wetherole St Apt 3H
Rego Park, NY 11374-4725

Phone

(347) 345-5658

NPI assigned

Mar 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1760622898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 WETHEROLE ST APT 3H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744725",
            "telephone_number": "347-345-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 WETHEROLE ST APT 3H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744725",
            "telephone_number": "347-345-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVALUYAS",
        "first_name": "ROSA VICTORIA",
        "middle_name": "BALCOS",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.