Jose Roberto Trejo Vargas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2131070 Issued in TX

Practice address

1317 St Claire Blvd Ste a
Mission, TX 78572-6636

Phone

(956) 584-3535

Fax

(956) 584-3633

NPI assigned

Aug 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Performance Therapeutics Mission

  • Physical Therapist
  • Mission, TX
  • NPI 1548279565
  NPD (past)

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1679054936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012924",
            "telephone_number": "956-687-4560",
            "fax_number": "956-687-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 ST CLAIRE BLVD STE A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726636",
            "telephone_number": "956-584-3535",
            "fax_number": "956-584-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO VARGAS",
        "first_name": "JOSE",
        "middle_name": "ROBERTO",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2131070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECTOPE",
            "identifier": "2131070",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Torres
• Total Renal Care Inc (Mission Valley Dialysis)
• Eleazar Tovar-Tienda
• Julio Cesar Tovar, PHARMD
• Kathy Tran, DDS
• Kristin Trejo
• Maricela Trevino-Pena
• Alicia Trevino, M.ED, LPC
• Edith C Trevino, FNP
• Jessica Marie Trevino, PTA

• Physical Therapy Assistant in Mission, TX
• Providers in Mission, 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 Aug 24, 2018; 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.