NPIMap

Organization Active NPI

Dynamic Care Rehab

  • Physical Therapy Clinic/Center
  • El Paso, TX
National Provider Identifier
1386943322
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1123313 Issued in TX
Legal business name
DYNAMIC CARE REHAB
Practice address
6006 N Mesa St Ste 901
El Paso, TX 79912-4655
Phone
(915) 408-0699
Fax
(915) 503-2297
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Mr. Mark Jerome Viray Gonzales, PTNPI 1710282041
Title
Owner/Manager
Phone
(915) 408-0699

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
Clinic/Center 261Q00000X 111483 TX
Physical Therapy Clinic/Center 261QP2000X 1123313 TX Primary

Addresses

Primary practice location

6006 N Mesa St Ste 901
El Paso, TX 79912-4655

Mailing address

6006 N Mesa St Ste 901
El Paso, TX 79912-4655
Phone (915) 408-0699

Other identifiers 1

IdentifierTypeStateIssuer
669570000OtherTXTHE EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS

National Provider Directory

National Provider Directory

Locations

6006 N Mesa St
Ste 901
El Paso, TX 79912
Phone (915) 408-0699

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": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1386943322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 N MESA ST STE 901",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124655",
            "telephone_number": "915-408-0699",
            "fax_number": "915-503-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 N MESA ST STE 901",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124655",
            "telephone_number": "915-408-0699",
            "fax_number": "915-503-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CARE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MARK JEROME",
        "authorized_official_middle_name": "VIRAY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "915-408-0699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "111483",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1123313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "669570000",
            "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 Mar 16, 2011; 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.