Active NPI
Imelda D Palisoc, P.T.
- Physical Therapist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1077220
- Practice address
- 6559 N Mesa St
El Paso, TX 79912-4417 - Phone
- (915) 584-5683
- Fax
- (915) 584-5657
- NPI assigned
- Mar 1, 2013
- 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 | 1077220 | TX | Primary |
Addresses
Primary practice location
6559 N Mesa St
El Paso, TX 79912-4417
Mailing address
612 N Resler Dr Ste a
El Paso, TX 79912-2370
Phone (915) 584-5683
Other practice location 1
1188 N Yarbrough Dr Ste S
El Paso, TX 79925-7926
Phone (915) 600-5020
Other names 1
- Imelda Doctolero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1188 N Yarbrough Dr
Suite S
El Paso, TX 79925-7926
Phone (915) 600-5020
6559 N Mesa St
El Paso, TX 79912-4417
Phone (915) 584-5683
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paloma Wellness and Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2427 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-1059
6559 N Mesa St
El Paso, TX 79912
Phone (915) 584-5683
1188 N Yarbrough Dr
Ste S
El Paso, TX 79925
Phone (915) 504-1715
612 N Resler Dr
Ste A
El Paso, TX 79912
Phone (915) 584-5683
612 N Resler Dr
El Paso, TX 79912
Phone (915) 584-5683
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 Therapy Clinic/Center
- El Paso, TX
- NPI 1104166024
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1184964017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 N RESLER DR STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799122370",
"telephone_number": "915-584-5683",
"fax_number": "915-584-5657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6559 N MESA ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799124417",
"telephone_number": "915-584-5683",
"fax_number": "915-584-5657"
}
],
"practiceLocations": [
{
"address_1": "1188 N Yarbrough Dr Ste S",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799257926",
"country_code": "US",
"telephone_number": "915-600-5020",
"fax_number": "915-584-5657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALISOC",
"first_name": "IMELDA",
"middle_name": "D",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-01",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1077220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IMELDA",
"last_name": "DOCTOLERO",
"code": "1",
"type": "Former Name"
}
]
}
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 11, 2025; 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.