Active NPI
Jocelyn Escuadro Odasco
- Physical Therapist
- Las Cruces, NM
National Provider Identifier
1134880719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 880 S Telshor Blvd Ste 202
Las Cruces, NM 88011-8601 - Phone
- (575) 339-1066
- NPI assigned
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
880 S Telshor Blvd Ste 202
Las Cruces, NM 88011-8601
Mailing address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Other practice location 1
3330 Rinconada Blvd Ste 5
Las Cruces, NM 88011-7195
Phone (575) 323-8077
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5874 | Other | HEALTH PARTNERS | |
| 236 | Medicaid | DC | |
| 568946544 | Other | BCBS |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Border Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Las Cruces, NM
- NPI 1437674264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1134880719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 S TELSHOR BLVD STE 202",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118601",
"telephone_number": "575-339-1066"
}
],
"practiceLocations": [
{
"address_1": "3330 Rinconada Blvd Ste 5",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880117195",
"country_code": "US",
"telephone_number": "575-323-8077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODASCO",
"first_name": "JOCELYN",
"middle_name": "ESCUADRO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "5874",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "568946544",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.