Individual provider Active NPI

Jessica Lea, PHYSICAL THERAPIST

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1508521881
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1103604 Issued in TX
Practice address
3118 Montana Ave
El Paso, TX 79903-2503
Phone
(915) 703-6380
Fax
(915) 703-6382
NPI assigned
Nov 2, 2021
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1103604 TX Primary

Addresses

Primary practice location

3118 Montana Ave
El Paso, TX 79903-2503

Mailing address

3118 Montana Ave
El Paso, TX 79903-2503
Phone (915) 703-6380

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1103604TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yagel Therapy Services, PLLC Physical Therapist CurrentSince May 22, 2022 Accepting new patients
Yagel Therapy 2.0 Corporation Physical Therapist PastSince Sep 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1508521881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032503",
            "telephone_number": "915-703-6380",
            "fax_number": "915-703-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032503",
            "telephone_number": "915-703-6380",
            "fax_number": "915-703-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEA",
        "first_name": "JESSICA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1103604",
            "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 Nov 18, 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.