Organization Active NPI

Manual Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • El Paso, TX
National Provider Identifier
1659640928
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1179939 Issued in TX
Legal business name
MANUAL PHYSICAL THERAPY SPECIALISTS LLC
Practice address
1421 N. Lee Trevino Dr.
Suite B2A
El Paso, TX 79936
Phone
(915) 591-0243
Fax
(915) 591-0256
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Marcos A Parga, PTNPI 1396916326
Title
Owner
Phone
(915) 591-0243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1179939 TX Primary

Addresses

Primary practice location

1421 N. Lee Trevino Dr.
Suite B2A
El Paso, TX 79936

Mailing address

1421 N Lee Trevino Dr
Suite B2A
El Paso, TX 79936-6463
Phone (915) 591-0243

Other identifiers 1

IdentifierTypeStateIssuer
1179939OtherTXTEXAS PT LIC # 1179939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120712000774 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214192434 Receives reassigned benefits from 5 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

10510 Montwood Dr
Ste B
El Paso, TX 79935
Phone (915) 591-0243

11163 La Quinta Pl
Ste C200
El Paso, TX 79936
Phone (915) 591-0243

1421 N Lee Trevino Dr
Ste B2A
El Paso, TX 79936
Phone (915) 591-0143

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1659640928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N LEE TREVINO DR",
            "address_2": "SUITE B2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366463",
            "telephone_number": "915-591-0243",
            "fax_number": "915-591-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N. LEE TREVINO DR.",
            "address_2": "SUITE B2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-591-0243",
            "fax_number": "915-591-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL PHYSICAL THERAPY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "PARGA",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-591-0243",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1179939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PT LIC # 1179939",
            "identifier": "1179939",
            "state": "TX"
        }
    ],
    "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 Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.