Elaina Wasdin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2096637 Issued in TX

Practice address

1101 E Schuster Ave
El Paso, TX 79902-4659

Phone

(915) 544-8484

NPI assigned

May 29, 2014

Sex

Female

Sole proprietor

No

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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1619389285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 ONYXSTONE ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241629",
            "telephone_number": "915-780-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E SCHUSTER AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024659",
            "telephone_number": "915-544-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASDIN",
        "first_name": "ELAINA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2096637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wardy Wellness Chiropractic PLLC
• David Joseph Wardy, D.C.
• Bredaisia Ware
• Samuel Philip Warren, RN, FNP-C, MD
• Zelda Shimba Wasao, MD
• Daniel S. Washburn, M.D.
• Rebecca Salome' Washer, LMSW
• Ruth Washington-Pena, BA
• Avis Dwan Washington, LPC ASSOCIATE
• Drew Masao Watanabe

• Physical Therapy Assistant in El Paso, TX
• Providers in El Paso, 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 May 29, 2014; 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.