Individual provider Active NPI

Joselito Vicente, P.T.

  • Physical Therapist
  • Beaumont, TX
National Provider Identifier
1942457148
Registry record updated Feb 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1113884 Issued in TX
Practice address
3560 Delaware St
Suite 1002
Beaumont, TX 77706-3067
Phone
(409) 899-1100
Fax
(409) 899-1120
NPI assigned
Aug 19, 2008
Last updated
Feb 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2010

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 1113884 TX Primary

Addresses

Primary practice location

3560 Delaware St
Suite 1002
Beaumont, TX 77706-3067

Mailing address

3560 Delaware St
Suite 1002
Beaumont, TX 77706-3067
Phone (409) 899-1100

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Dizziness & Physical Therapy Clinic, LLC Physical Therapist PastSince Mar 1, 2010 Accepting new patients
Raul D. Isern Jr M.D.P.a PastSince Feb 10, 1995 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12469/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265414400000",
    "number": "1942457148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE 1002",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063067",
            "telephone_number": "409-899-1100",
            "fax_number": "409-899-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE 1002",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063067",
            "telephone_number": "409-899-1100",
            "fax_number": "409-899-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE",
        "first_name": "JOSELITO",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2010-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1113884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; 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.