JOSE VILLANUEVA (PT) – Physical Medicine & Rehabilitation Physician, NPI 1013944602

JOSE VILLANUEVA (PT) is a healthcare provider. based in Johnson city, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 000002402 (TN). The NPI Number for JOSE VILLANUEVA (PT) is 1013944602

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JOSE VILLANUEVA (PT)
NPI
1013944602
Phone
(423) 232-6120
Address
101 MED TECH PKWY
Enumeration Date
27 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4236980850
Graduation Year
1987 (39 years ago)
PAC ID
1456443969
Group Practice PAC ID
1355253659
Professional Enrollment ID
I20070828000547
Address ID
TN374042728CH281XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

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Provider Addresses for JOSE VILLANUEVA (PT)

  • Blue Ridge Family Medicine, 101, Med Tech Parkway, Avondale Forest, Johnson City, Washington County, Tennessee, 37604, United States

    SUITE 200

    JOHNSON CITY, TN 376044007

    Phone: (423) 232-6120

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070828000547IPhysical Therapist In Private PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes64458$0
97032Application of electrical stimulation with therapist present, each 15 minutes43451$0
97012Application of mechanical traction37841$0
97161Evaluation for physical therapy, typically 20 minutes5953$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355253659View full group profile
NameSpecialtyState
Physician AssistantTN
Anesthesiology, Pain Management, AnesthesiologyWA
Nurse PractitionerTN
Nurse PractitionerTN
Pain ManagementTN
-TN
A N E S T H E S I O L O G YTN
Interventional Pain Management, AnesthesiologyTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What NPI should I save for JOSE VILLANUEVA (PT)?
Save NPI 1013944602 if you need a stable reference for JOSE VILLANUEVA (PT).
Is JOSE VILLANUEVA (PT) active in the national directory?
JOSE VILLANUEVA (PT)'s public NPI profile is in an active state.
What does JOSE VILLANUEVA (PT) treat or focus on?
Patients typically see JOSE VILLANUEVA (PT) under the specialty Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JOSE VILLANUEVA (PT)?
The snapshot lists Johnson City, Tennessee for JOSE VILLANUEVA (PT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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