NPIMap

Organization Active NPI

M & D Legacy

  • Occupational Therapist
  • El Paso, TX
National Provider Identifier
1477991073
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
M & D LEGACY
Doing business as
Transformations Rehabilitation Services
Practice address
9244 Gateway Blvd E Ste a
El Paso, TX 79907-1848
Phone
(915) 213-5490
Fax
(915) 213-3285
NPI assigned
Jun 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Gianni Ballou
Title
Credentialing Coordinator
Phone
(915) 213-5490

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

9244 Gateway Blvd E Ste a
El Paso, TX 79907-1848

Mailing address

9244 Gateway Blvd E Ste a
El Paso, TX 79907-1848
Phone (915) 213-5490

Other names 1

  • Transformations Rehabilitation Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251113004076 TX Part B Supplier - Clinic/Group Practice 6406083575 Receives reassigned benefits from 6 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1920 N Zaragoza Rd
Ste 108
El Paso, TX 79938
Phone (915) 201-2505

9244 Gateway Blvd E
Ste A
El Paso, TX 79907
Phone (915) 213-5490

Practitioners & affiliated clinicians

Practitioners 7

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": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1477991073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9244 GATEWAY BLVD E STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799071848",
            "telephone_number": "915-213-5490",
            "fax_number": "915-213-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9244 GATEWAY BLVD E STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799071848",
            "telephone_number": "915-213-5490",
            "fax_number": "915-213-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & D LEGACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "BALLOU",
        "authorized_official_first_name": "GIANNI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "915-213-5490"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformations Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 24, 2025; 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.