Organization Active NPI

Alta Mesa Physical Therapy, PLLC

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1831491760
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1111896 Issued in TX
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

Updated by the provider on Feb 19, 2013

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2885147-01MedicaidTX
TXB129022OtherMEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.