Active NPI
Kelly L Mapes, LPT
- Physical Therapist
- Elsa, TX
National Provider Identifier
1770729667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 306286
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183477202 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 306286 | CA | MD | Physical Therapist |
| 1131290 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Elsa, TX
- NPI 1780619031
Physical Therapist
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.