Individual provider Active NPI

Katherine Margaret Reyes-Brooks, PT, DPT

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1528275245
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1139558 Issued in TX
Practice address
10950 Pellicano Dr
BLDG B, Ste B-2
El Paso, TX 79935
Phone
(915) 491-2033
NPI assigned
May 16, 2007
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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 1139558 TX Primary

Addresses

Primary practice location

10950 Pellicano Dr
BLDG B, Ste B-2
El Paso, TX 79935

Mailing address

PO Box 71024
El Paso, TX 79917
Phone (915) 491-2033

Other practice location 1

5200 N Mesa St Ste D106
El Paso, TX 79912-5835
Phone (915) 307-3283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000802 TX Practitioner - Physical Therapist in Private Practice 1254427438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10950 Pellicano Dr
El Paso, TX 79935-4616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1139558TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Therapy Services, LLC Physical Therapist CurrentSince Apr 6, 2016 Accepting new patients
Border Therapy Services LLC Physical Therapist PastSince Apr 28, 2008 Accepting new patients

Locations

10950 Pellicano Dr
Ste B
El Paso, TX 79935
Phone (915) 307-3283

10950 Pellicano Dr
Ste B2
El Paso, TX 79935
Phone (915) 307-3283

5200 N Mesa St
Ste D106
El Paso, TX 79912
Phone (915) 271-8052

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1528275245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71024",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79917",
            "telephone_number": "915-491-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 PELLICANO DR",
            "address_2": "BLDG B, STE B-2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79935",
            "telephone_number": "915-491-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 N Mesa St Ste D106",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799125835",
            "country_code": "US",
            "telephone_number": "915-307-3283",
            "fax_number": "915-307-4934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES-BROOKS",
        "first_name": "KATHERINE",
        "middle_name": "MARGARET",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1139558",
            "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 29, 2019; 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.