Organization Active NPI

Physiotherapy of El Paso, P.C.

Doing business as Spine & Rehab Specialists

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1124035050
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
619810000 Issued in TX
Legal business name
PHYSIOTHERAPY OF EL PASO, P.C.
Doing business as
Spine & Rehab Specialists
Practice address
6358 Edgemere Blvd
El Paso, TX 79925-3517
Phone
(915) 562-8525
Fax
(915) 566-3889
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Herman Koster, PTNPI 1831135318
Title
Director of Physical Therapy
Phone
(915) 562-8525

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 619810000 TX Primary

Addresses

Primary practice location

6358 Edgemere Blvd
El Paso, TX 79925-3517

Mailing address

6358 Edgemere Blvd
El Paso, TX 79925-3517
Phone (915) 562-8525

Other identifiers 1

IdentifierTypeStateIssuer
145488601MedicaidTX

Other names 1

  • Spine & Rehab Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525001467 TX Part B Supplier - Clinic/Group Practice 9638150725 Receives reassigned benefits from 15 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

11851 Physicians Dr
Bldg B
El Paso, TX 79936
Phone (915) 855-6466

6358 Edgemere Blvd
El Paso, TX 79925
Phone (915) 562-8525

11855 Physicians Dr
El Paso, TX 79936
Phone (915) 562-8525

1779 N Zaragoza Rd
Ste A
El Paso, TX 79936
Phone (915) 855-6181

2900 Pershing Dr
Ste B
El Paso, TX 79903
Phone (915) 562-8525

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1124035050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6358 EDGEMERE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253517",
            "telephone_number": "915-562-8525",
            "fax_number": "915-566-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6358 EDGEMERE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253517",
            "telephone_number": "915-562-8525",
            "fax_number": "915-566-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY OF EL PASO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "KOSTER",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "915-562-8525",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "619810000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145488601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine & Rehab Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 24, 2025; 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.