Ray Jimenez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306606386 Issued in VA

Practice address

3 Industrial Way E
Eatontown, NJ 07724-3318

Phone

(732) 544-1557

NPI assigned

Aug 22, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1821872664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 GRANT ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 INDUSTRIAL WAY E",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243318",
            "telephone_number": "732-544-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "CP032270A",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306606386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea R. Jaworski
• Jersey Shore Dental Spa LLC
• Jersey Shore Internal Medicine and Family Practice Associates PC
• Jeteye Inc (Pearle Vision)
• Christine Jimenez
• John Clemente MD LLC
• Brittany Johnson
• Kathryn A Johnson
• Lynn M. Johnson, M.A.
• Ebube Jon-Emefieh

• Physical Therapy Assistant in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.