NPIMap

Organization Active NPI

Connexion Therapeutic Associates,LLC

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1770611519
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1096667 Issued in TX
Legal business name
CONNEXION THERAPEUTIC ASSOCIATES,LLC
Practice address
1155 Westmoreland Dr
Suite 124
El Paso, TX 79925-5659
Phone
(915) 881-8500
Fax
(866) 239-1602
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Paul Demark Vicencio
Title
Administrator
Phone
(915) 881-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1096667 TX Primary

Addresses

Primary practice location

1155 Westmoreland Dr
Suite 124
El Paso, TX 79925-5659

Mailing address

PO Box 972688
El Paso, TX 79997-2688
Phone (915) 881-8500

National Provider Directory

National Provider Directory
Tax ID family
Connexion Therapeutic Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1155 Westmoreland Dr
Ste 124
El Paso, TX 79925
Phone (915) 881-8500

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1770611519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972688",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799972688",
            "telephone_number": "915-881-8500",
            "fax_number": "866-239-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WESTMORELAND DR",
            "address_2": "SUITE 124",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255659",
            "telephone_number": "915-881-8500",
            "fax_number": "866-239-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNEXION THERAPEUTIC ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "VICENCIO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DEMARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-881-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1096667",
            "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 Jun 17, 2008; 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.