Individual provider Active NPI

Eric Max Trujillo, DPT, CSCS

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1033469101
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1220121 Issued in TX
Practice address
4242 Hondo Pass Dr
Suite 110
El Paso, TX 79904-1205
Phone
(915) 751-0599
NPI assigned
Sep 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1220121 TX Primary

Addresses

Primary practice location

4242 Hondo Pass Dr
Suite 110
El Paso, TX 79904-1205

Mailing address

4242 Hondo Pass Dr
Suite 110
El Paso, TX 79904-1205
Phone (915) 751-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150213001622 TX Practitioner - Physical Therapist in Private Practice 3476878422 Reassigns benefits to 1 organization
I20231213002429 NM Practitioner - Physical Therapist in Private Practice 3476878422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Border Therapy Services LLCGroup PAC ID 1355421181, 36 clinicians

Practice addresses (Care Compare)

4242 Hondo Pass Dr
Suite 110
El Paso, TX 79904-1211
Phone (915) 751-0599

880 S Telshor Blvd
Suite 202
Las Cruces, NM 88011-8601
Phone (575) 339-1066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1220121TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Border Therapy Services LLC Physical Therapist CurrentSince Aug 10, 2015 Accepting new patients
Border Therapy Services LLC Physical Therapist PastSince Dec 1, 2023 Accepting new patients

Locations

880 S Telshor Blvd
Ste 202
Las Cruces, NM 88011
Phone (575) 339-1066

3330 Rinconada Blvd
Ste 5
Las Cruces, NM 88011
Phone (575) 232-8077

2280 Trawood Dr
El Paso, TX 79935
Phone (915) 493-6794

7825 N Mesa St
Ste B
El Paso, TX 79932
Phone (915) 317-1319

12801 Edgemere Blvd
Ste 102B
El Paso, TX 79938
Phone (915) 493-6795

3215 Gateway Blvd W
Ste 201
El Paso, TX 79903
Phone (915) 493-6799

4242 Hondo Pass Dr
Ste 110
El Paso, TX 79904
Phone (915) 751-0595

836 E Redd Rd
#B
El Paso, TX 79912
Phone (915) 845-4060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1033469101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 HONDO PASS DR",
            "address_2": "SUITE 110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041205",
            "telephone_number": "915-751-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 HONDO PASS DR",
            "address_2": "SUITE 110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041205",
            "telephone_number": "915-751-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "ERIC",
        "middle_name": "MAX",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1220121",
            "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 Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.