Active NPI
Mark Boncser, MSPT,OCS,FAAOMPT
- Physical Therapist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1062586
- 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
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 | 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, NM
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1062586 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Border Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Matrix Rehabilitation Ohio, Inc. | Past | Accepting new patients | |
| Border Therapy Services LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Las Cruces, NM
- NPI 1437674264
-
- Rehabilitation Clinic/Center
- Akron, OH
- NPI 1336173335
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.