NPIMap

Organization Active NPI

El Paso Manual Physical Therapy PLLC

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1215428909
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1207709 Issued in TX
Legal business name
EL PASO MANUAL PHYSICAL THERAPY PLLC
Practice address
2601 E Yandell Dr Ste 232
El Paso, TX 79903-3724
Phone
(915) 503-1314
Fax
(915) 255-3826
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
David Middaugh Jr., DPTNPI 1245518372
Title
Doctor, Owner
Phone
(915) 503-1314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1207709 TX Primary

Addresses

Primary practice location

2601 E Yandell Dr Ste 232
El Paso, TX 79903-3724

Mailing address

3900 Jefferson Ave
El Paso, TX 79930-6614
Phone (915) 329-6805

Other identifiers 1

IdentifierTypeStateIssuer
1207709OtherTEXAS PHYSICAL THERAPY LICENSE

Other names 1

  • El Paso Manual Physical Therapy, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

2601 E Yandell Dr
Ste 232
El Paso, TX 79903
Phone (915) 503-1314

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1215428909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JEFFERSON AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799306614",
            "telephone_number": "915-329-6805",
            "fax_number": "915-255-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E YANDELL DR STE 232",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033724",
            "telephone_number": "915-503-1314",
            "fax_number": "915-255-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO MANUAL PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "MIDDAUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR, OWNER",
        "authorized_official_telephone_number": "915-503-1314",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1207709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHYSICAL THERAPY LICENSE",
            "identifier": "1207709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Paso Manual Physical Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.