Individual provider Active NPI

Mark Boncser, MSPT,OCS,FAAOMPT

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1760426332
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1062586 Issued in TX
Practice address
836 E Redd Rd
Suite B
El Paso, TX 79912-7221
Phone
(915) 845-4060
Fax
(915) 845-4065
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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 1062586 TX Primary

Addresses

Primary practice location

836 E Redd Rd
Suite B
El Paso, TX 79912-7221

Mailing address

2280 Trawood Dr
El Paso, TX 79935-3020
Phone (915) 595-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041210000426 TX Practitioner - Physical Therapist in Private Practice 1557328614 Reassigns benefits to 1 organization
I20170815003862 NM Practitioner - Physical Therapist in Private Practice 1557328614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Border Therapy Services LLCGroup PAC ID 1355421181, 36 clinicians

Practice addresses (Care Compare)

2280 Trawood Dr
El Paso, TX 79935-3020
Phone (915) 595-3535

836 E Redd Rd B
El Paso, TX 79912-7221
Phone (915) 845-4060

880 S Telshor Blvd
Suite 202
Las Cruces, NM 88011-8601
Phone (575) 339-1066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1062586TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Border Therapy Services LLC Physical Therapist CurrentSince Nov 27, 2007 Accepting new patients
Matrix Rehabilitation Ohio, Inc. Past Accepting new patients
Border Therapy Services LLC Physical Therapist PastSince Jun 19, 2017 Accepting new patients

Locations

880 S Telshor Blvd
Ste 202
Las Cruces, NM 88011
Phone (575) 339-1066

3330 Rinconada Blvd
Ste 5
Las Cruces, NM 88011
Phone (575) 232-8077

836 E Redd Rd
#B
El Paso, TX 79912
Phone (915) 845-4060

2280 Trawood Dr
El Paso, TX 79935
Phone (915) 493-6794

7411 Remcon Cir
Ste A
El Paso, TX 79912
Phone (915) 317-1131

12801 Edgemere Blvd
Ste 102B
El Paso, TX 79938
Phone (915) 493-6795

3215 Gateway Blvd W
Ste 201
El Paso, TX 79903
Phone (915) 493-6799

4242 Hondo Pass Dr
Ste 110
El Paso, TX 79904
Phone (915) 751-0595

1300 Murchison Dr
Ste 314
El Paso, TX 79902
Phone (915) 234-2991

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1760426332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353020",
            "telephone_number": "915-595-3535",
            "fax_number": "915-595-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E REDD RD",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127221",
            "telephone_number": "915-845-4060",
            "fax_number": "915-845-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONCSER",
        "first_name": "MARK",
        "credential": "MSPT,OCS,FAAOMPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1062586",
            "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 Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.