Active NPI
Mark Scheller, PT, DPT
- Physical Therapist
- El Paso, TX
National Provider Identifier
1831751007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1318369
- Practice address
- 1514 N Zaragoza Rd Ste B4
El Paso, TX 79936-8041 - Phone
- (915) 257-5782
- Fax
- (915) 275-4027
- NPI assigned
- Jul 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 1318369 | TX | Primary |
Addresses
Primary practice location
1514 N Zaragoza Rd Ste B4
El Paso, TX 79936-8041
Mailing address
1514 N Zaragoza Rd Ste B4
El Paso, TX 79936-8041
Phone (915) 257-5782
Other practice location 1
1421 N Lee Trevino Dr Ste B2A
El Paso, TX 79936-6463
Phone (915) 591-0243
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 |
|---|---|---|---|
| 1318369 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Bird Pediatric Therapy Clinic, Inc | 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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- El Paso, TX
- NPI 1639538077
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1831751007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 N ZARAGOZA RD STE B4",
"city": "EL PASO",
"state": "TX",
"postal_code": "799368041",
"telephone_number": "915-257-5782",
"fax_number": "915-275-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 N ZARAGOZA RD STE B4",
"city": "EL PASO",
"state": "TX",
"postal_code": "799368041",
"telephone_number": "915-257-5782",
"fax_number": "915-275-4027"
}
],
"practiceLocations": [
{
"address_1": "1421 N Lee Trevino Dr Ste B2A",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799366463",
"country_code": "US",
"telephone_number": "915-591-0243",
"fax_number": "915-591-0256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHELLER",
"first_name": "MARK",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1318369",
"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 Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.