Active NPI
Delia Elisabeth Vicencio, MSPT
- Physical Therapist
- El Paso, TX
National Provider Identifier
1396806550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1096667
- Practice address
- 1082 Whirl Away Dr
El Paso, TX 79936-7830 - Phone
- (915) 859-1838
- Fax
- (915) 859-1838
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1096667 | TX | Primary |
Addresses
Primary practice location
1082 Whirl Away Dr
El Paso, TX 79936-7830
Mailing address
1082 Whirl Away Dr
El Paso, TX 79936-7830
Phone (915) 859-1838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096667 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connexion Therapeutic Associates, LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- El Paso, TX
- NPI 1841314093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1396806550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1082 WHIRL AWAY DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367830",
"telephone_number": "915-859-1838",
"fax_number": "915-859-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1082 WHIRL AWAY DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367830",
"telephone_number": "915-859-1838",
"fax_number": "915-859-1838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICENCIO",
"first_name": "DELIA",
"middle_name": "ELISABETH",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1096667",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.