Desert Physio LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DESERT PHYSIO LLC

Practice address

120 Monteine TRL
Sunland Park, NM 88008-9345

Phone

(575) 619-2000

Fax

(575) 800-0385

NPI assigned

Apr 27, 2024

Organization subpart

No

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

Authorized official

Name

Ruben H De la Paz Jr., PT, DPTNPI 1518516830

Title

Owner/Physical Therapist

Phone

(575) 619-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

Enrollment records 2

Practitioners 2

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

• Ruben Huerta Delapaz Jr., PHYSICAL THERAPIST

  • Physical Therapist
  • El Paso, TX
  • NPI 1518516830

  NM

  Medicare reassignment NPD Authorized official
• Francesca Hernandez

  • Speech-Language Pathologist
  • El Paso, TX
  • NPI 1871215186
  NPD

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1104672468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MONTEINE TRL",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880089345",
            "telephone_number": "575-619-2000",
            "fax_number": "575-800-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MONTEINE TRL",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880089345",
            "telephone_number": "575-619-2000",
            "fax_number": "575-800-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PHYSIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "DE LA PAZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "575-619-2000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Cubilette, LISW
• Victoria Davis
• Ana De la Torres
• Myrna A De Santiago
• Doona Lea Dean
• Monica Devora
• Jonah Dunne
• Alberto A Duran
• Isabella Loren Duran, LMSW
• Samyuktha Reddy Duvurri, B.D.S, D.M.D

• Physical Therapist in Sunland Park, NM
• Providers in Sunland Park, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.