Majestic Rehabilitation and Wellness Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MAJESTIC REHABILITATION AND WELLNESS INC

Practice address

11199 Pellicano Dr Ste a
El Paso, TX 79935-5304

Phone

(915) 626-6120

Fax

(915) 856-3668

NPI assigned

Oct 5, 2020

Organization subpart

No

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

Authorized official

Name

Pius O Sodipe

Title

Ceo

Phone

(915) 626-6120

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1457958225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11199 PELLICANO DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799355304",
            "telephone_number": "915-626-6120",
            "fax_number": "915-856-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11199 PELLICANO DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799355304",
            "telephone_number": "915-626-6120",
            "fax_number": "915-856-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC REHABILITATION AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "SODIPE",
        "authorized_official_first_name": "PIUS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-626-6120"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "32075565690",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE IDENTIFICATION NUMBER",
            "identifier": "32075565690",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "psodip2528@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11199 Pellicano Dr Ste A",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799355304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "psodip2528@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11199 Pellicano Dr Ste A",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799355304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapy Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.