Pablo Eduardo Estrada, PT, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1271229 Issued in TX

Practice address

3220 Montana Ave
El Paso, TX 79903-2630

Phone

(915) 444-8116

NPI assigned

Nov 1, 2018

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Biospan Physcial Therapy & Longevity LLC

  • Physical Therapist
  • El Paso, TX
  • NPI 1851245328
  NPD Authorized official
• El Paso Rehabilitation Specialty Group

  • Physical Therapist
  • El Paso, TX
  • NPI 1750842738
  Authorized official Same address or phone

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1720555212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032630",
            "telephone_number": "915-444-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032630",
            "telephone_number": "915-444-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7430 Remcon Cir Bldg A",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799123519",
            "country_code": "US",
            "telephone_number": "915-231-2285",
            "fax_number": "915-231-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "PABLO",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "1271229",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1271229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1271229",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD SPECIALTY CERTIFICATE",
            "identifier": "52596",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarita Estrada
• Margarita Estrada
• Michael Christopher Estrada, PHARMD
• Miguel Angel Estrada
• Nelly Massiel Estrada, M.D.
• Ricarda Estrada, LCDC
• Ricardo Sebastian Estrada
• Victoria Marie Estrada, LPC, LCDC
• Zul N Estrada, LPC-S
• Guadalupe Estrello, NP

• Orthopedic Physical Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.