Gil Ilustre Javelosa Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6443 Issued in OR

Practice address

1516 SW Tyrone Ter
Beaverton, OR 97006-2671

Phone

(503) 880-0306

NPI assigned

Aug 25, 2011

Last updated

Aug 25, 2011By the provider in NPPES

Sex

Male

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

Enrolled in OR, WA, TX3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colville Nation Community Health CentersGroup PAC ID 8820363716, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Colville Nation Community Health Centers

  dba Lake Roosevelt Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Inchelium, WA
  • NPI 1043335961

  TX

  Medicare reassignment Care Compare group NPD
• Tier 1 Therapy LLC

  • Physical Therapist
  • Richland, WA
  • NPI 1063062099

  OR

  Medicare reassignment NPD
• Washington Luna Care Physical Therapy LLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1346808052
  Medicare reassignment NPD
• Colville Nation Community Health Centers

  dba Lake Roosevelt Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Inchelium, WA
  • NPI 1679697155
  NPD
• Therapy Options LLC

  • Occupational Therapist
  • Burbank, WA
  • NPI 1679001580
  NPD (past)

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1891075560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 SW TYRONE TER",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970062671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 SW TYRONE TER",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970062671",
            "telephone_number": "503-880-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVELOSA",
        "first_name": "GIL",
        "middle_name": "ILUSTRE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine M. Macdonald, D.C., P.C.
• Sarah Jansala
• Anna Janssen
• Molly Kay Jarvis
• Nancy Ann Jauch, M.D.
• Rushini K. Jayawardena, MSW
• JD Harris PC (Beaverton Vision World)
• Heather Lucile Jeffers, LMT
• Susan Jeltsch
• Amanda Noelle Jenkins

• Physical Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.