Individual provider Active NPI

Ruben Huerta Delapaz Jr., PHYSICAL THERAPIST

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1518516830
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1208755 Issued in TX
Practice address
6201 Northern Pass Dr
El Paso, TX 79911-7201
Phone
(915) 706-2320
NPI assigned
Sep 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017025 OH
Physical Therapist 225100000X PT-2024-0093 NM
Physical Therapist 225100000X 1208755 TX Primary

Addresses

Primary practice location

6201 Northern Pass Dr
El Paso, TX 79911-7201

Mailing address

120 Monteine TRL
Sunland Park, NM 88008-9345
Phone (432) 238-5310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220616000991 TX Practitioner - Physical Therapist in Private Practice 9739568031 Reassigns benefits to 2 organizations
I20240712000038 NM Practitioner - Physical Therapist in Private Practice 9739568031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Monteine TRL
Sunland Park, NM 88008-9345
Phone (575) 619-2000

5105 Cornell Ave
El Paso, TX 79924-5331
Phone (575) 619-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1208755TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Physio LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Chihuahuan Desert Speech Therapy PLLC CurrentSince Aug 5, 2024 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

6201 Northern Pass Dr
El Paso, TX 79911
Phone (915) 232-9057

1501 W Campbell Rd
Garland, TX 75044
Phone (469) 609-9153

2300 Pool Rd
#G
Grapevine, TX 76051
Phone (833) 655-2840

4701 Ratcliffe Dr
Kyle, TX 78640
Phone (512) 920-4600

2760 W Walker St
League City, TX 77573
Phone (281) 967-7973

2022 State Highway 46 W
New Braunfels, TX 78132
Phone (830) 743-9324

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1518516830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MONTEINE TRL",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880089345",
            "telephone_number": "432-238-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 NORTHERN PASS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799117201",
            "telephone_number": "915-706-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAPAZ",
        "first_name": "RUBEN",
        "middle_name": "HUERTA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017025",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2024-0093",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1208755",
            "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 Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.