Maranatha Physical Medicine & Rehabilitation, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

Q7639 Issued in TX

Legal business name

MARANATHA PHYSICAL MEDICINE & REHABILITATION, PLLC

Practice address

5833 Via Cuesta Dr
El Paso, TX 79912-6610

Phone

(915) 539-7841

NPI assigned

Mar 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Shanel Barrett, MDNPI 1285778670

Title

President

Phone

(915) 539-7841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa S. Barrett, MD

  • Physical Medicine & Rehabilitation Physician
  • El Paso, TX
  • NPI 1285778670
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1013410802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 VIA CUESTA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126610",
            "telephone_number": "915-539-7841",
            "fax_number": "915-314-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 VIA CUESTA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126610",
            "telephone_number": "915-539-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA PHYSICAL MEDICINE & REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "SHANEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-539-7841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q7639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Daniel Manzo-Micoletti, PA-C
• Edra Manzo
• Francesco Giuseppe Maoli, MD
• Edward Mapula, D.D.S.
• Joseph M Mapula, R.PH.
• Marble Rose Enterprises LLC (Marble Rose Health)
• Marc Beaudin's Counterbalance Systems PLLC (Counterbalance Systems, PLLC)
• Marc Ellman, M.D., P.a. (Southwest Eye Institute)
• Thomas T Marcee, P.T.
• Samuel Marcel, LPC

• Physical Medicine & Rehabilitation Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.