Individual provider Active NPI

Kelly L Mapes, LPT

  • Physical Therapist
  • Elsa, TX
National Provider Identifier
1770729667
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306286 Issued in CA
Practice address
205 W Edinburg Ave
Elsa, TX 78543-1769
Phone
(956) 262-1037
Fax
(956) 262-7756
NPI assigned
Dec 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306286 CA Primary
Physical Therapist 225100000X 1131290 TX

Addresses

Primary practice location

205 W Edinburg Ave
Elsa, TX 78543-1769

Mailing address

307 S 2ND Ave
Edinburg, TX 78539-4010
Phone (423) 967-5825

Other identifiers 1

IdentifierTypeStateIssuer
183477202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
306286CAMDPhysical Therapist
1131290TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elsa Therapy & Wellness Center, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1770729667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 2ND AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394010",
            "telephone_number": "423-967-5825",
            "fax_number": "956-262-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W EDINBURG AVE",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785431769",
            "telephone_number": "956-262-1037",
            "fax_number": "956-262-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPES",
        "first_name": "KELLY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-23",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306286",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1131290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183477202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elsa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.