Organization Active NPI

Para Pediatric & Adult Rehabilitation Associates, PLLC

  • Physical Medicine & Rehabilitation Physician
  • El Paso, TX
National Provider Identifier
1285063990
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N9562 Issued in TX
Legal business name
PARA PEDIATRIC & ADULT REHABILITATION ASSOCIATES, PLLC
Practice address
3800 N Mesa St Ste A2-343
El Paso, TX 79902-1538
Phone
(806) 535-9695
NPI assigned
Nov 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Callenda Hacker, M.D.
Title
Owner
Phone
(806) 535-9695

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X N9562 TX Primary
Pediatric Rehabilitation Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0010X N9562 TX

Addresses

Primary practice location

3800 N Mesa St Ste A2-343
El Paso, TX 79902-1538

Mailing address

PO Box 23098
El Paso, TX 79923-0098
Phone (806) 535-9695

National Provider Directory

National Provider Directory

Locations

3800 N Mesa St
Ste A2343
El Paso, TX 79902
Phone (806) 535-9695

NPI Registry JSON

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1285063990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23098",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799230098",
            "telephone_number": "806-535-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N MESA ST STE A2-343",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021538",
            "telephone_number": "806-535-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARA PEDIATRIC & ADULT REHABILITATION ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-03",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "HACKER",
        "authorized_official_first_name": "CALLENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-535-9695",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N9562",
            "primary": true
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "TX",
            "license": "N9562",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 19, 2014; 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.