Provider Demographics
NPI:1902915846
Name:EL PASO THERAPY SERVICES INC
Entity Type:Organization
Organization Name:EL PASO THERAPY SERVICES INC
Other - Org Name:EL PASO PHYSICAL THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOLEDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMENDARIZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:915-587-4081
Mailing Address - Street 1:6151 DEW DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3909
Mailing Address - Country:US
Mailing Address - Phone:915-587-4081
Mailing Address - Fax:915-587-8344
Practice Address - Street 1:1891 N LEE TREVINO DR
Practice Address - Street 2:SUITE 700
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4127
Practice Address - Country:US
Practice Address - Phone:915-593-3787
Practice Address - Fax:915-590-9165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160454801Medicaid
456749Medicare UPIN