Maricris Jimenez Atay, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1269920 Issued in TX

Practice address

711 Kings Way
Del Rio, TX 78840-2029

Phone

(830) 774-0698

NPI assigned

Dec 10, 2014

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1962800763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 KINGS WAY",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402029",
            "telephone_number": "830-774-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 KINGS WAY",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402029",
            "telephone_number": "830-774-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATAY",
        "first_name": "MARICRIS",
        "middle_name": "JIMENEZ",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014007710",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0012334",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1269920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Arizpe
• Clarissa Arizpe
• Brianna Nicole Arredondo
• Aslan Professional Services LLC (Aslan Adult Daycare)
• Gerardo Astudillo, MD
• Joel F Bacon, D.C.
• Victoria Dominque Balderas, DDS
• Heather Sue Bangerter, APRN-CNP
• Sergio Barksdale, M.D.
• Veronica Barreto Cedillo

• Physical Therapist in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.