Erelle J Claveria, P.T

Individual provider Active NPI Physical Therapist · McAllen, TX

NPI 1114279205 · NPPES record last updated Oct 12, 2012

Key facts

NPI
1114279205
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1221341 (TX)
Practice address
500 Lindberg Ave
McAllen, TX 78501-2924
Phone
(956) 687-4560
NPI assigned
Oct 12, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1221341TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Therapeutics Mission PLLC Past Accepting new patients
Performance Therapeutics Harlingen PLLC Past
since Mar 1, 2015
Accepting new patients
Performance Therapeutics - Roma PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1221341 TX Yes

Addresses

Primary practice location

500 Lindberg Ave
McAllen, TX 78501-2924

Mailing address

4500 Cooper Rd
Ste 101
Cincinnati, OH 45242-5647

Other providers in McAllen, TX

All providers in McAllen, TX · Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.