Individual provider Active NPI

Colton Richard Shinaut, DPT

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1588201735
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1326167 Issued in TX
Practice address
820 E Redd Rd Ste a
El Paso, TX 79912-7275
Phone
(915) 444-2589
Fax
(915) 260-8472
NPI assigned
Dec 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 1326167 TX Primary

Addresses

Primary practice location

820 E Redd Rd Ste a
El Paso, TX 79912-7275

Mailing address

820 E Redd Rd Ste a
El Paso, TX 79912-7275
Phone (915) 444-2589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624000065 TX Practitioner - Physical Therapist in Private Practice 1951723790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1721 N Lee Trevino Dr
Wellmed at Lee Trevino
El Paso, TX 79936-4563
Phone (915) 590-9424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1326167TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Sep 30, 2024 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Sep 30, 2024 Accepting new patients

Locations

1721 N Lee Trevino Dr
Ste B
El Paso, TX 79936
Phone (915) 590-1910

1721 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 590-9424

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: colton.shinaut@wellmed.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1588201735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E REDD RD STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127275",
            "telephone_number": "915-444-2589",
            "fax_number": "915-260-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E REDD RD STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127275",
            "telephone_number": "915-444-2589",
            "fax_number": "915-260-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINAUT",
        "first_name": "COLTON",
        "middle_name": "RICHARD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1326167",
            "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 Dec 6, 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.