Individual provider Active NPI

Leticia De Jesus

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1700562139
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1337302 Issued in TX
Practice address
1700 E Cliff Dr
El Paso, TX 79902-5192
Phone
(915) 500-6601
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 1337302 TX Primary

Addresses

Primary practice location

1700 E Cliff Dr
El Paso, TX 79902-5192

Mailing address

1700 E Cliff Dr
El Paso, TX 79902-5192
Phone (915) 500-6601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy TX LLC Physical Therapist CurrentSince Apr 6, 2023 Accepting new patients
Spectrum Therapy Consultants Inc. Physical Therapist PastSince Dec 12, 2021 Accepting new patients

Locations

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1700562139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CLIFF DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025192",
            "telephone_number": "915-500-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CLIFF DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025192",
            "telephone_number": "915-500-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "LETICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1337302",
            "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 Jun 22, 2023; 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.