Active NPI
Alta Mesa Physical Therapy, PLLC
- Physical Therapist
- El Paso, TX
National Provider Identifier
1831491760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1111896
- Legal business name
- ALTA MESA PHYSICAL THERAPY, PLLC
- Practice address
- 615 E Schuster Ave
Suite 9a
El Paso, TX 79902-4350 - Phone
- (915) 544-4100
- Fax
- (915) 544-4102
- NPI assigned
- Nov 29, 2010
- 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
- Floyd Hancock III, PT
- Title
- Pres / Owner
- Phone
- (915) 544-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1111896 | TX | Primary |
Addresses
Primary practice location
615 E Schuster Ave
Suite 9a
El Paso, TX 79902-4350
Mailing address
615 E Schuster Ave
Suite 9a
El Paso, TX 79902-4350
Phone (915) 544-4100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2885147-01 | Medicaid | TX | |
| TXB129022 | Other | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
615 E Schuster Ave
Ste 9A
El Paso, TX 79902
Phone (915) 444-5200
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 Therapist
- El Paso, TX
- NPI 1710622949
-
- Physical Therapist
- El Paso, TX
- NPI 1669547725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361232000000",
"number": "1831491760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E SCHUSTER AVE",
"address_2": "SUITE 9A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024350",
"telephone_number": "915-544-4100",
"fax_number": "915-544-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E SCHUSTER AVE",
"address_2": "SUITE 9A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024350",
"telephone_number": "915-544-4100",
"fax_number": "915-544-4102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTA MESA PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2013-02-19",
"status": "A",
"authorized_official_last_name": "HANCOCK",
"authorized_official_first_name": "FLOYD",
"authorized_official_title_or_position": "PRES / OWNER",
"authorized_official_telephone_number": "915-544-4100",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1111896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2885147-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB129022",
"state": null
}
],
"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 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.