Active NPI
Gerardo Mena
- Physical Therapist
- Las Cruces, NM
National Provider Identifier
1093321325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5779
- Practice address
- 880 S Telshor Blvd Ste 202
Las Cruces, NM 88011-8601 - Phone
- (575) 339-1066
- NPI assigned
- Sep 22, 2020
- Last updated
- Sep 22, 2020
- 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 Therapist | 225100000X | PT5779 | NM | Primary |
Addresses
Primary practice location
880 S Telshor Blvd Ste 202
Las Cruces, NM 88011-8601
Mailing address
2280 Trawood Dr
El Paso, TX 79935-3020
Phone (915) 595-3535
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Border Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Las Cruces, NM
- NPI 1437674264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1093321325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 TRAWOOD DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799353020",
"telephone_number": "915-595-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 S TELSHOR BLVD STE 202",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118601",
"telephone_number": "575-339-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENA",
"first_name": "GERARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-22",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.