Moses Isaac Blancas, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1147100 Issued in TX

Practice address

1721 N Lee Trevino Dr Ste B
El Paso, TX 79936-4564

Phone

(915) 590-1910

Fax

(915) 225-6422

NPI assigned

Aug 9, 2006

Last updated

Jul 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: moses.blancas@wellmed.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment Care Compare group NPD
• Wellmed Medical Group, P.a.

  dba WellMed Senior Clinic at Ben White

  • Family Medicine Physician
  • Austin, TX
  • NPI 1437457710
  NPD
• Wellmed Medical Group, P.a.

  dba WellMed Doctor's Hospital Senior Clinic

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243
  NPD
• Eastside Physiotherapy Clinic

  • Physical Therapy Clinic/Center
  • El Paso, TX
  • NPI 1861764722
  NPD (past)
• Gary Grindstaff Dpmpa

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
  • NPI 1619017050
  NPD (past)
• Wellmed Networks, Inc.

  dba WellMed Cardiology

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1386948677
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1366452237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12520",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799130520",
            "telephone_number": "915-842-0504",
            "fax_number": "915-842-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364564",
            "telephone_number": "915-590-1910",
            "fax_number": "915-225-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCAS",
        "first_name": "MOSES",
        "middle_name": "ISAAC",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1147100",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "TX",
            "license": "1147100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802654-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe K Blair II, CRNA
• Terry Bruce Blair, OD
• Tony Lenere Blair, FNP
• Cynthia Blake, LPC
• Oscar Blanc, M.D.
• Victor X Blancas Jr., PHYSICAL THERAPIST
• Brisa Maria Blanco
• Cyrus Blanco, MD
• James Blanco I
• Marisol Blanco, PHAMD

• Physical Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.