Organization Active NPI

Performance Physical Therapy of El Paso PLLC

  • Physical Medicine & Rehabilitation Physician
  • El Paso, TX
National Provider Identifier
1780186742
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PERFORMANCE PHYSICAL THERAPY OF EL PASO PLLC
Practice address
820 E Redd Rd Ste a
El Paso, TX 79912-7221
Phone
(915) 581-0712
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Clara Gouge
Title
Revenue Cycle Manager
Phone
(847) 393-4505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

820 E Redd Rd Ste a
El Paso, TX 79912-7221

Mailing address

1930 Thoreau Dr N Ste 165
Schaumburg, IL 60173-4179
Phone (847) 393-4505

National Provider Directory

National Provider Directory

Locations

820 E Redd Rd
Ste A
El Paso, TX 79912
Phone (915) 444-2589

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1780186742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 THOREAU DR N STE 165",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734179",
            "telephone_number": "847-393-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E REDD RD STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127221",
            "telephone_number": "915-581-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY OF EL PASO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "GOUGE",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "847-393-4505"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 6, 2018; 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.