Active NPI
Rodolfo Marin, P.T.
- Physical Therapist
- Socorro, TX
National Provider Identifier
1205985231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1065449
- Practice address
- 10760 N Loop Dr
Suite C-2
Socorro, TX 79927-4688 - Phone
- (915) 872-9333
- Fax
- (915) 872-9390
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- 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 | 1065449 | TX | Primary |
Addresses
Primary practice location
10760 N Loop Dr
Suite C-2
Socorro, TX 79927-4688
Mailing address
10760 N Loop Dr
Suite C-2
Socorro, TX 79927-4688
Phone (915) 872-9333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070707000074 | TX | Practitioner - Physical Therapist in Private Practice | 1759343395 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- El Paso Physical Therapy Specialists LLC
Practice addresses (Care Compare)
6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606
7470 Cimarron PLZ
BLDG 17
El Paso, TX 79911-2220
Phone (915) 272-5007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1065449 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Therapy Services Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- El Paso, TX
- NPI 1902915846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205985231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10760 N LOOP DR",
"address_2": "SUITE C-2",
"city": "SOCORRO",
"state": "TX",
"postal_code": "799274688",
"telephone_number": "915-872-9333",
"fax_number": "915-872-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10760 N LOOP DR",
"address_2": "SUITE C-2",
"city": "SOCORRO",
"state": "TX",
"postal_code": "799274688",
"telephone_number": "915-872-9333",
"fax_number": "915-872-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN",
"first_name": "RODOLFO",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1065449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Socorro, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.