Active NPI
Eu Bryan Corpuz Villaces, PT
- Physical Therapist
- Laredo, TX
National Provider Identifier
1821508011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1251567
- Practice address
- 2335 E Saunders St # 3
Laredo, TX 78041-5434 - Phone
- (956) 753-5600
- NPI assigned
- Oct 3, 2017
- Last updated
- Oct 3, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1251567 | TX | Primary |
Addresses
Primary practice location
2335 E Saunders St # 3
Laredo, TX 78041-5434
Mailing address
2219 E Travis St Apt 104
Laredo, TX 78043-1103
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merkley Partners LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba South Texas Kids Rehab
- Occupational Therapist
- Laredo, TX
- NPI 1992089189
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506988800000",
"number": "1821508011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 E TRAVIS ST APT 104",
"city": "LAREDO",
"state": "TX",
"postal_code": "780431103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 E SAUNDERS ST # 3",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415434",
"telephone_number": "956-753-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLACES",
"first_name": "EU BRYAN",
"middle_name": "CORPUZ",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-03",
"last_updated": "2017-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1251567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.