Individual provider Active NPI

Jose Alejandro Cepeda, P.T.A.

  • Physical Therapy Assistant
  • Edinburg, TX
National Provider Identifier
1124256524
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
4045260 Issued in TX
Practice address
1805 Lago Delton
Edinburg, TX 78542-3986
Phone
(955) 961-1907
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 4045260 TX Primary
Adult Care Home Facility 311ZA0620X TX

Addresses

Primary practice location

1805 Lago Delton
Edinburg, TX 78542-3986

Mailing address

1805 Lago Delton
Edinburg, TX 78542-3986
Phone (956) 961-1907

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4045260TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1124256524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 LAGO DELTON",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785423986",
            "telephone_number": "956-961-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 LAGO DELTON",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785423986",
            "telephone_number": "955-961-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPEDA",
        "first_name": "JOSE",
        "middle_name": "ALEJANDRO",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "4045260",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.