Active NPI
Performance Physical Therapy of El Paso PLLC
- Physical Medicine & Rehabilitation Physician
- El Paso, TX
National Provider Identifier
1780186742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.
-
- Physical Therapy Assistant
- El Paso, TX
- NPI 1659901114
-
- Orthopaedic Surgery Physician
- El Paso, TX
- NPI 1922088822
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.