Organization Active NPI

McAllen Physical Therapy Inc

  • Physical Therapist
  • Edinburg, TX
National Provider Identifier
1497099824
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
188847 Issued in TX
Legal business name
MCALLEN PHYSICAL THERAPY INC
Practice address
5119 S McColl Rd
Edinburg, TX 78539-8278
Phone
(956) 661-9490
Fax
(956) 661-9499
NPI assigned
Nov 26, 2012
Last updated
Oct 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Authorized official

Name
Fortino GonzalezNPI 1588730204
Title
PT
Phone
(956) 661-1964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 188847 TX Primary

Addresses

Primary practice location

5119 S McColl Rd
Edinburg, TX 78539-8278

Mailing address

5119 S McColl Rd
Edinburg, TX 78539-8278
Phone (956) 661-1964

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130321000105 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537304688 Receives reassigned benefits from 1 practitioner
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

5201 N McColl Rd
McAllen, TX 78504
Phone (956) 661-1964

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1497099824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398278",
            "telephone_number": "956-661-1964",
            "fax_number": "956-661-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398278",
            "telephone_number": "956-661-9490",
            "fax_number": "956-661-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALLEN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FORTINO",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "956-661-1964"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "188847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.