Individual provider Active NPI

Valerie Crystal Favela-Portillo, DPT

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1174272934
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1353324 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
Mar 21, 2022
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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 1353324 TX Primary

Addresses

Primary practice location

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

Mailing address

1891 N Lee Trevino Dr Ste 700
El Paso, TX 79936-4129
Phone (915) 593-3787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220506000700 TX Practitioner - Physical Therapist in Private Practice 3577940899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians

Practice addresses (Care Compare)

1891 N Lee Trevino Dr
Suite 700
El Paso, TX 79936-4129
Phone (915) 593-3787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Physical Therapy Specialists LLC Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
El Paso Therapy Services Inc Physical Therapist PastSince Mar 21, 2022 Accepting new patients

Locations

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

6151 Dew Dr
Ste 300
El Paso, TX 79912
Phone (915) 581-9606

13791 Horizon Blvd
Ste A1
Horizon City, TX 79928
Phone (915) 872-9333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1174272934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "FAVELA-PORTILLO",
        "first_name": "VALERIE",
        "middle_name": "CRYSTAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1353324",
            "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 Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.