Active NPI
Yudel Garza Salazar, PTA
- Physical Therapy Assistant
- Mission, TX
National Provider Identifier
1083191647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2104029
- Practice address
- 7600 W Interstate Highway 2 Ste 4&5
Mission, TX 78572-2063 - Phone
- (956) 581-7171
- Fax
- (956) 581-7178
- NPI assigned
- Jul 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2104029 | TX | Primary |
Addresses
Primary practice location
7600 W Interstate Highway 2 Ste 4&5
Mission, TX 78572-2063
Mailing address
3408 Toucan Ave
McAllen, TX 78504-0437
Phone (956) 358-3405
Other practice location 1
316 Conquest Ste 100
Edinburg, TX 78539-3012
Phone (956) 380-6200
Other practice location 2
2504 E Griffin Pkwy
Mission, TX 78572-3348
Phone (956) 519-2700
Other practice location 3
2504 E Griffin Pkwy
Mission, TX 78572-3348
Phone (956) 580-2023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2104029 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1083191647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 TOUCAN AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785040437",
"telephone_number": "956-358-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 W INTERSTATE HIGHWAY 2 STE 4&5",
"city": "MISSION",
"state": "TX",
"postal_code": "785722063",
"telephone_number": "956-581-7171",
"fax_number": "956-581-7178"
}
],
"practiceLocations": [
{
"address_1": "316 Conquest Ste 100",
"address_purpose": "LOCATION",
"city": "Edinburg",
"state": "TX",
"postal_code": "785393012",
"country_code": "US",
"telephone_number": "956-380-6200",
"fax_number": "956-380-6205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2504 E Griffin Pkwy",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "785723348",
"country_code": "US",
"telephone_number": "956-519-2700",
"fax_number": "956-519-2704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2504 E Griffin Pkwy",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "785723348",
"country_code": "US",
"telephone_number": "956-580-2023",
"fax_number": "956-580-2032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAZAR",
"first_name": "YUDEL",
"middle_name": "GARZA",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2104029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.