Active NPI
Jonathan Ivan Flores
- Physical Therapy Assistant
- Rio Grande City, TX
National Provider Identifier
1811476088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2112335
- Practice address
- 5346 E US Highway 83 Ste 2
Rio Grande City, TX 78582-9418 - Phone
- (956) 317-1285
- Fax
- (956) 317-1291
- NPI assigned
- Aug 8, 2018
- Last updated
- Aug 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2112335 | TX | Primary |
Addresses
Primary practice location
5346 E US Highway 83 Ste 2
Rio Grande City, TX 78582-9418
Mailing address
801 N Garza St
Rio Grande City, TX 78582-3326
Phone (956) 263-9761
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2112335 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1811476088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N GARZA ST",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785823326",
"telephone_number": "956-263-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5346 E US HIGHWAY 83 STE 2",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785829418",
"telephone_number": "956-317-1285",
"fax_number": "956-317-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "JONATHAN",
"middle_name": "IVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2112335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.