El Paso Back in Action Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EL PASO BACK IN ACTION THERAPY, LLC

Practice address

7451 Paseo del Norte
Suite B5
El Paso, TX 79911

Phone

(575) 430-8648

NPI assigned

Sep 8, 2025

Organization subpart

No

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

Authorized official

Name

Derek Halladay

Title

Managing Member

Phone

(575) 430-8648

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew A Hoyt, DPT

  • Physical Therapist
  • Alamogordo, NM
  • NPI 1790230514

  Physical Therapist, TX

  Medicare reassignment Care Compare group NPD
• Timothy R Worley, PT, DPT

  • Physical Therapist
  • Boulder, CO
  • NPI 1578393682

  TX

  Medicare reassignment Care Compare group
• Clarissa K Diaz, PT, DPT

  • Physical Therapist
  • Horizon City, TX
  • NPI 1649990292
  Medicare reassignment NPD

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1194606293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 PASEO DEL NORTE STE B5",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113158",
            "telephone_number": "915-243-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 PASEO DEL NORTE",
            "address_2": "SUITE B5",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79911",
            "telephone_number": "575-430-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO BACK IN ACTION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "HALLADAY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "575-430-8648"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Paso Anesthesiology, P.a.
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• El Paso ASC LP
• El Paso Behavioral Hospital, LLC
• El Paso Cardiac Vascular & Thoracic Surgeons PA
• El Paso Cardiology Associates, P.a.
• El Paso Cardiopulmonary Associates, P.a.
• El Paso Care Services LLC

• All providers in El Paso, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.