Individual provider Active NPI

Jelena Jakovljeivc

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1801520424
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1330816 Issued in TX
Practice address
3110 Guadalupe St Ste 100
Austin, TX 78705-2858
Phone
(512) 675-1359
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 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 1330816 TX Primary

Addresses

Primary practice location

3110 Guadalupe St Ste 100
Austin, TX 78705-2858

Mailing address

9725 N Lake Creek Pkwy Apt 3319
Austin, TX 78717-5975
Phone (925) 699-7845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117001853 TX Practitioner - Physical Therapist in Private Practice 3870978752 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
89.74
Improvement activities
40
Cost
61.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1330816TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Integrative Medical Group PLLC CurrentSince Dec 11, 2023 Accepting new patients
Doctx3 PLLC CurrentSince Jul 20, 2022 Accepting new patients
Doctx3 PLLC CurrentSince Jul 20, 2022 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 11, 2024 Accepting new patients

Locations

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

6836 Bee Caves Rd
Bldg 1
Austin, TX 78746
Phone (512) 347-0044

6836 Bee Caves Rd
Ste 200
Austin, TX 78746
Phone (512) 442-2727

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1801520424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 N LAKE CREEK PKWY APT 3319",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175975",
            "telephone_number": "925-699-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GUADALUPE ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052858",
            "telephone_number": "512-675-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOVLJEIVC",
        "first_name": "JELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1330816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.