Active NPI
Ismael Garcia
- Physical Therapist
- El Paso, TX
National Provider Identifier
1710622949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1103851
- Practice address
- 1717 Brown St Ste 2a
El Paso, TX 79902-4730 - Phone
- (915) 544-2981
- Fax
- (915) 542-0575
- NPI assigned
- May 2, 2022
- Last updated
- May 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1103851 | TX | Primary |
Addresses
Primary practice location
1717 Brown St Ste 2a
El Paso, TX 79902-4730
Mailing address
1717 Brown St Ste 2a
El Paso, TX 79902-4730
Phone (915) 544-2981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1103851 | Other | TX | LICENCE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | prietopt@aol.com | Other |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1103851 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prieto Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Alta Mesa Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
1717 Brown St
Ste 2A
El Paso, TX 79902
Phone (833) 339-7246
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.
-
- Physical Therapy Clinic/Center
- El Paso, TX
- NPI 1851573091
Physical Therapist
-
- Physical Therapist
- El Paso, TX
- NPI 1831491760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1710622949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 BROWN ST STE 2A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024730",
"telephone_number": "915-544-2981",
"fax_number": "915-542-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 BROWN ST STE 2A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024730",
"telephone_number": "915-544-2981",
"fax_number": "915-542-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ISMAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1103851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE NUMBER",
"identifier": "1103851",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "prietopt@aol.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "appointment",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "schedule request",
"address_1": "1717 Brown St Ste 2A",
"city": "El Paso",
"state": "TX",
"country_code": "US",
"postal_code": "799024730",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.