Organization Active NPI

Complete Performance Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • El Paso, TX
National Provider Identifier
1093440513
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COMPLETE PERFORMANCE PHYSICAL THERAPY, PLLC
Practice address
780 N Resler Dr Ste B
El Paso, TX 79912-7196
Phone
(915) 626-5358
Fax
(915) 581-3862
NPI assigned
Jul 19, 2022
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Mayra Carolina Navarrete, DPTNPI 1659640993
Title
DPT
Phone
(915) 329-6659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

780 N Resler Dr Ste B
El Paso, TX 79912-7196

Mailing address

780 N Resler Dr Ste B
El Paso, TX 79912-7196
Phone (915) 626-5358

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230313000854 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022482132 Receives reassigned benefits from 3 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

5857 N Mesa St
Ste 23
El Paso, TX 79912
Phone (915) 455-1157

5857 N Mesa St
Ste 23B
El Paso, TX 79912
Phone (915) 455-1157

780 N Resler Dr
Ste B
El Paso, TX 79912
Phone (915) 626-5358

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1093440513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 N RESLER DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127196",
            "telephone_number": "915-626-5358",
            "fax_number": "915-581-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 N RESLER DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127196",
            "telephone_number": "915-626-5358",
            "fax_number": "915-581-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PERFORMANCE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "915-329-6659",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "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 Jun 7, 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.