Active NPI
Mountain Man Physical Therapy LLC
- Physical Therapist
- El Paso, TX
National Provider Identifier
1003260555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1271857
- Legal business name
- MOUNTAIN MAN PHYSICAL THERAPY LLC
- Practice address
- 5360 N Mesa St
Ste 1a
El Paso, TX 79912-5872 - Phone
- (915) 613-2000
- NPI assigned
- Apr 21, 2016
- Last updated
- May 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sander Michael Schiller, PT
- Title
- President
- Phone
- (915) 613-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1271857 | TX | Primary |
Addresses
Primary practice location
5360 N Mesa St
Ste 1a
El Paso, TX 79912-5872
Mailing address
5360 N Mesa St
Ste 1a
El Paso, TX 79912-5872
Phone (915) 613-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5360 N Mesa St
Ste A1
El Paso, TX 79912
Phone (915) 613-2000
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- El Paso, TX
- NPI 1043671472
-
- Physical Therapist
- El Paso, TX
- NPI 1699484287
-
- Physical Therapist
- El Paso, TX
- NPI 1285968016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463529600000",
"number": "1003260555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5360 N MESA ST",
"address_2": "STE 1A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125872",
"telephone_number": "915-613-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5360 N MESA ST",
"address_2": "STE 1A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125872",
"telephone_number": "915-613-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN MAN PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-21",
"last_updated": "2016-05-18",
"status": "A",
"authorized_official_last_name": "SCHILLER",
"authorized_official_first_name": "SANDER",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-613-2000",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1271857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.