Individual provider Active NPI

Stephanie Acosta

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1164068839
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2143513 Issued in TX
Practice address
1891 N Lee Trevino Dr Ste 700
El Paso, TX 79936-4129
Phone
(915) 593-3787
Fax
(915) 590-9165
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2143513 TX Primary

Addresses

Primary practice location

1891 N Lee Trevino Dr Ste 700
El Paso, TX 79936-4129

Mailing address

6224 Arapaho Rd
El Paso, TX 79905-2123

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
2143513TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Physical Therapy Specialists LLC Physical Therapist CurrentSince Mar 28, 2020 Accepting new patients
El Paso Therapy Services Inc Physical Therapist PastSince Nov 24, 2019 Accepting new patients

Locations

1891 N Lee Trevino Dr
Ste 700
El Paso, TX 79936
Phone (915) 593-3787

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1164068839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 ARAPAHO RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 N LEE TREVINO DR STE 700",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364129",
            "telephone_number": "915-593-3787",
            "fax_number": "915-590-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "2143513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2019; 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.