Individual provider Active NPI

Rodolfo Marin, P.T.

  • Physical Therapist
  • Socorro, TX
National Provider Identifier
1205985231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1065449 Issued in TX
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

Updated by the provider on Jul 8, 2007

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 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 IDStateProvider typePAC IDDetails
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 106 clinicians

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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1065449TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Therapy Services Inc Physical Therapist PastSince Mar 28, 2020 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.

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.

Verify at the official NPI Registry.