Active NPI
Jessica Moreno, PT, DPT
- Physical Therapist
- El Paso, TX
National Provider Identifier
1487013694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1181090
- Practice address
- 1527 Brown St Ste B
El Paso, TX 79902-4737 - Phone
- (915) 533-3511
- Fax
- (915) 533-3522
- NPI assigned
- Feb 16, 2016
- 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 | 1181090 | TX | Primary |
Addresses
Primary practice location
1527 Brown St Ste B
El Paso, TX 79902-4737
Mailing address
1445 Bessemer Dr Ste B
El Paso, TX 79936-5909
Phone (915) 629-7669
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1487013694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 BESSEMER DR STE B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799365909",
"telephone_number": "915-629-7669",
"fax_number": "915-629-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 BROWN ST STE B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024737",
"telephone_number": "915-533-3511",
"fax_number": "915-533-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "JESSICA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1181090",
"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 Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.