Organization Active NPI

Proactive Motion Therapy LLC

  • Occupational Therapist
  • El Paso, TX
National Provider Identifier
1225507957
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PROACTIVE MOTION THERAPY LLC
Practice address
11199 Pellicano Dr
El Paso, TX 79935-5304
Phone
(915) 276-4286
Fax
(915) 206-2610
NPI assigned
Nov 26, 2018
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Patricia Flores, OTNPI 1780185215
Title
President
Phone
(915) 204-1760

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

11199 Pellicano Dr
El Paso, TX 79935-5304

Mailing address

1075 Whirl Away Dr
El Paso, TX 79936-7830
Phone (915) 204-1760

Other practice location 1

1125 Texas Ave Ste B01
El Paso, TX 79901-1754
Phone (915) 276-4286

Other identifiers 1

IdentifierTypeStateIssuer
108575OtherTXOCCUPATIONAL THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190222001437 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355689951 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

10950 Pellicano Dr
Ste B1
El Paso, TX 79935
Phone (915) 204-1760

11199 Pellicano Dr
El Paso, TX 79935
Phone (915) 276-4286

1125 Texas Ave
Ste 1
El Paso, TX 79901

11395 James Watt Dr
#A56
El Paso, TX 79936

11395 James Watt Dr
Ste A5
El Paso, TX 79936

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1225507957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 WHIRL AWAY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367830",
            "telephone_number": "915-204-1760",
            "fax_number": "915-206-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11199 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799355304",
            "telephone_number": "915-276-4286",
            "fax_number": "915-206-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Texas Ave Ste B01",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799011754",
            "country_code": "US",
            "telephone_number": "915-276-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROACTIVE MOTION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-204-1760",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "108575",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 16, 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.