El Paso Kinetic Rehab Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EL PASO KINETIC REHAB SERVICES LLC

Practice address

4532 N Mesa St Ste 303
El Paso, TX 79912-6286

Phone

(915) 577-0051

NPI assigned

Sep 5, 2019

Last updated

Sep 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge Octavio Aguirre

Title

Managing Partner

Phone

(915) 203-4660

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1528617263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 N MESA ST STE 303",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126286",
            "telephone_number": "915-577-0051",
            "fax_number": "915-577-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 N MESA ST STE 303",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126286",
            "telephone_number": "915-577-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1387 George Dieter Dr Ste C307",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367410",
            "country_code": "US",
            "telephone_number": "915-577-0051",
            "fax_number": "915-577-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EL PASO KINETIC REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "OCTAVIO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "915-203-4660"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• El Paso Kidney Specialists PA
• El Paso Kids Klinic
• El Paso Leadership Academy
• El Paso Ltach Partner, LP
• El Paso Ltach Partners, LP (El Paso LTAC Hospital)
• El Paso Manual Physical Therapy PLLC
• El Paso Maternal Fetal Medicine, PLLC

• Physical Therapy Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.