MPFK, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1123313 Issued in TX

Legal business name

MPFK, INC.

Doing business as

Dynamic Care Rehab

Practice address

1401 Montana Ave
Suite D
El Paso, TX 79902-5673

Phone

(915) 408-0699

Fax

(915) 503-2297

NPI assigned

Feb 26, 2013

Organization subpart

No

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

Authorized official

Name

Mark Jerome V. Gonzales, PT

Title

President/ PT in Charge

Phone

(915) 408-0699

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DYNAMIC CARE REHAB Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosa Linda Pena, MS,CCC-SLP

  • Speech-Language Pathologist
  • El Paso, TX
  • NPI 1477918555
  NPD (past)
• Rose Denise Salazar, MS,CCC-SLP

  • Speech-Language Pathologist
  • El Paso, TX
  • NPI 1457716540
  NPD (past)

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1760722839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MONTANA AVE",
            "address_2": "SUITE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025673",
            "telephone_number": "915-408-0699",
            "fax_number": "915-503-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MONTANA AVE",
            "address_2": "SUITE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025673",
            "telephone_number": "915-408-0699",
            "fax_number": "915-503-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPFK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MARK JEROME",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT/ PT IN CHARGE",
        "authorized_official_telephone_number": "915-408-0699",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1123313",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "293994",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYNAMIC CARE REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.