Individual provider Active NPI

Edith Cruz Ellorimo, LPT

  • Physical Therapist
  • Harlingen, TX
National Provider Identifier
1528143641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1112746 Issued in TX
Practice address
729 N 77 Sunshine Strip
Harlingen, TX 78550-8847
Phone
(956) 421-4667
Fax
(956) 421-2016
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1112746 TX Primary

Addresses

Primary practice location

729 N 77 Sunshine Strip
Harlingen, TX 78550-8847

Mailing address

1614 Fairfield CT
Harlingen, TX 78550-3583
Phone (956) 423-5985

Other identifiers 1

IdentifierTypeStateIssuer
86013TOtherTXBCBS OF TEXAS

Other names 1

  • Mrs. Edith Sinque Cruz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140711000434 TX Practitioner - Physical Therapist in Private Practice 0446475222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMC RGV Physicians Group IIGroup PAC ID 7810356383, 8 clinicians

Practice addresses (Care Compare)

2114 Hale Ave
Harlingen, TX 78550-8408
Phone (956) 365-4106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1112746TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HMC RGV Physicians Group II Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
HMC RGV Physicians Group CurrentSince Nov 14, 2015 Accepting new patients
Jose a. Cobos Mdpa PastSince Apr 1, 2009 Accepting new patients
Health Success Physical Therapist PastSince Aug 13, 2012 Accepting new patients

Locations

2114 Hale Ave
Harlingen, TX 78550
Phone (956) 255-8678

2114 Hale Ave
Ste A
Harlingen, TX 78550
Phone (956) 365-4106

2310 N Ed Carey Dr
Ste 1A
Harlingen, TX 78550
Phone (956) 425-0111

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCEDD

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, 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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528143641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 FAIRFIELD CT",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503583",
            "telephone_number": "956-423-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N 77 SUNSHINE STRIP",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508847",
            "telephone_number": "956-421-4667",
            "fax_number": "956-421-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLORIMO",
        "first_name": "EDITH",
        "middle_name": "CRUZ",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1112746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "86013T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "CRUZ",
            "middle_name": "SINQUE",
            "prefix": "MRS.",
            "credential": "LPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.