Organization Active NPI

El Paso Hand Rehabilitation Center, Inc.

  • Hand Occupational Therapist
  • El Paso, TX
National Provider Identifier
1063597813
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
508630000 Issued in TX
Legal business name
EL PASO HAND REHABILITATION CENTER, INC.
Practice address
11395 James Watt Dr
#A-7
El Paso, TX 79936-5940
Phone
(915) 598-1920
Fax
(915) 598-2444
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Mr. Jack R. Romero
Title
V.P., Sec.
Phone
(915) 598-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X 508630000 TX Primary

Addresses

Primary practice location

11395 James Watt Dr
#A-7
El Paso, TX 79936-5940

Mailing address

11395 James Watt Dr
#A-7
El Paso, TX 79936-5940
Phone (915) 598-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000670 TX Part B Supplier - Clinic/Group Practice 4981880564 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1188 N Yarbrough Dr
Ste V
El Paso, TX 79925
Phone (915) 598-1920

11395 James Watt Dr
Ste A7
El Paso, TX 79936
Phone (915) 598-1920

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1063597813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11395 JAMES WATT DR",
            "address_2": "#A-7",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365940",
            "telephone_number": "915-598-1920",
            "fax_number": "915-598-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11395 JAMES WATT DR",
            "address_2": "#A-7",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365940",
            "telephone_number": "915-598-1920",
            "fax_number": "915-598-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO HAND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "V.P., SEC.",
        "authorized_official_telephone_number": "915-598-1920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "508630000",
            "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 Jan 27, 2012; 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.