Active NPI
Dedicated Medical Professional Management LLC
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- El Paso, TX
National Provider Identifier
1124371588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- DEDICATED MEDICAL PROFESSIONAL MANAGEMENT LLC
- Practice address
- 1515 Cessna Dr
Suite 103
El Paso, TX 79925-2555 - Phone
- (915) 630-6972
- NPI assigned
- Oct 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edwing Martinez
- Title
- Owner
- Phone
- (915) 630-6972
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
1515 Cessna Dr
Suite 103
El Paso, TX 79925-2555
Mailing address
1515 Cessna Dr
Suite 103
El Paso, TX 79925-2555
Other names 1
- 1ST CHOICE OUTPATIENT REHabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Outpatient physical therapy / speech pathology certification: CCN 676721
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- 1ST CHOICE OUTPATIENT REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- May 18, 2015
- Last certification
- May 18, 2015
- Ownership / control type
- Proprietary
- Facility address
- 1515 Cessna Dr Ste 103
El Paso, TX 79925
National Provider Directory
National Provider DirectoryLocations
1515 Cessna Dr
Ste 103
El Paso, TX 79925
Phone (915) 630-6972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451347200000",
"number": "1124371588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 CESSNA DR",
"address_2": "SUITE 103",
"city": "EL PASO",
"state": "TX",
"postal_code": "799252555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 CESSNA DR",
"address_2": "SUITE 103",
"city": "EL PASO",
"state": "TX",
"postal_code": "799252555",
"telephone_number": "915-630-6972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEDICATED MEDICAL PROFESSIONAL MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-23",
"last_updated": "2015-12-29",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "EDWING",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "915-630-6972"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "1ST CHOICE OUTPATIENT REHabilitation",
"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 Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.