Individual provider Active NPI

Rudy Alexander Ortega, PT, DPT

  • Orthopedic Physical Therapist
  • El Paso, TX
National Provider Identifier
1316704273
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1390020 Issued in TX
Practice address
5857 N Mesa St Ste 23
El Paso, TX 79912-4653
Phone
(915) 455-1159
NPI assigned
Mar 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 1390020 TX
Orthopedic Physical Therapist 2251X0800X 1390020 TX Primary

Addresses

Primary practice location

5857 N Mesa St Ste 23
El Paso, TX 79912-4653

Mailing address

6060 Los Siglos Dr
El Paso, TX 79912-7512
Phone (915) 539-0238

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417001689 TX Practitioner - Physical Therapist in Private Practice 1153760681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Locomotion Physical Therapy PLLCGroup PAC ID 4880089994, 3 clinicians

Practice addresses (Care Compare)

5857 N Mesa St
Suite 23
El Paso, TX 79912-4653
Phone (915) 455-1157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1390020TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Locomotion Physical Therapy PLLC Sports CurrentSince Apr 16, 2024 Accepting new patients

Locations

5857 N Mesa St
Ste 23
El Paso, TX 79912
Phone (915) 455-1157

Organizations & group practices 1

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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1316704273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 LOS SIGLOS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127512",
            "telephone_number": "915-539-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 N MESA ST STE 23",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124653",
            "telephone_number": "915-455-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "RUDY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1390020",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1390020",
            "primary": true
        }
    ],
    "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 6, 2024; 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.