Active NPI
Myriam Huckeby
- Physical Therapist
- El Paso, TX
National Provider Identifier
1790094860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1255577
- Practice address
- 1779 N Zaragoza Rd
El Paso, TX 79936-8027 - Phone
- (915) 855-6466
- NPI assigned
- Oct 6, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 35756 | TX | |
| Physical Therapist | 225100000X | 1255577 | TX | Primary |
Addresses
Primary practice location
1779 N Zaragoza Rd
El Paso, TX 79936-8027
Mailing address
1779 N Zaragoza Rd
El Paso, TX 79936-8027
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1255577 | TX | MD | Physical Therapist |
| 35756 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1790094860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1779 N ZARAGOZA RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799368027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1779 N ZARAGOZA RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799368027",
"telephone_number": "915-855-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKEBY",
"first_name": "MYRIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-06",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "35756",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1255577",
"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 Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.