West Texas Therapeutic Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1061430 Issued in TX

Legal business name

WEST TEXAS THERAPEUTIC SERVICES

Practice address

11395 James Watt Dr Ste A6
El Paso, TX 79936-5941

Phone

(915) 629-7669

Fax

(915) 629-7679

NPI assigned

Dec 1, 2015

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adalberto Reveles

Title

Director

Phone

(915) 920-4047

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Guillermo Acosta, PT

  • Physical Therapist
  • El Paso, TX
  • NPI 1194894683
  Medicare reassignment Care Compare group NPD
• Patricia Reveles Acosta, PHYSICAL THERAPIST

  • Physical Therapist
  • El Paso, TX
  • NPI 1306953062
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1447625546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MESA ST STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125919",
            "telephone_number": "915-351-6600",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11395 JAMES WATT DR STE A6",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365941",
            "telephone_number": "915-629-7669",
            "fax_number": "915-629-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "REVELES",
        "authorized_official_first_name": "ADALBERTO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-920-4047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1061430",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1061430",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1061430",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1061430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179118803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179118802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Texas Outpatient Surgery Center
• West Texas Pain Institute PLLC
• West Texas Pathology Associates
• West Texas Provider Services LLC
• West Texas Radiology PA
• West Texas Treatment Center
• West View Management LLC (Ponce Chiropractic)
• West Wharton County Hospital District (El Paso Health & Rehabilitation Center)
• West Wharton County Hospital District (Grace Pointe Wellness Center)
• West Wharton County Hospital District (Avir at El Paso)

• 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 Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.