Edith Valenzuela

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2081800 Issued in TX

Practice address

11335 SSG Sims St
Fort Bliss, TX 79918-8033

Phone

(915) 742-1321

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1528885209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11335 SSG SIMS ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799188033",
            "telephone_number": "915-742-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 SSG SIMS ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799188033",
            "telephone_number": "915-742-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "EDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2081800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Vadney, CNM
• Yvonne Valdez-Searcy
• Jose Luis Valdez, LCSW
• Taran Brooks Valdivia Carlisle, DO
• Bernardo Alfredo Valencia, MD
• James Vanderbilt
• Crandall Kyle Varnell, MD
• Shana D Vazquez, RN
• Christopher Michael Vela
• John A Velasquez, MD

• Physical Therapy Assistant in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.