Active NPI
Rosaura Orozco Blakely
- Geriatric Physical Therapist
- Socorro, TX
National Provider Identifier
1417412859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 2071370
- Practice address
- 10064 Alameda Ave
Socorro, TX 79927-1801 - Phone
- (915) 773-0730
- NPI assigned
- Feb 8, 2019
- Last updated
- Feb 8, 2019
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2071370 | TX | Primary |
Addresses
Primary practice location
10064 Alameda Ave
Socorro, TX 79927-1801
Mailing address
12548 Blazing Star Dr
El Paso, TX 79928-5859
Phone (915) 630-1716
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 |
|---|---|---|---|
| 2071370 | TX | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1417412859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12548 BLAZING STAR DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799285859",
"telephone_number": "915-630-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10064 ALAMEDA AVE",
"city": "SOCORRO",
"state": "TX",
"postal_code": "799271801",
"telephone_number": "915-773-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKELY",
"first_name": "ROSAURA",
"middle_name": "OROZCO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "2071370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Socorro, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.