Active NPI
Marlene Yvette Gomez
- Physical Therapist
- El Paso, TX
National Provider Identifier
1861004814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1337110
- Practice address
- 6358 Edgemere Blvd
El Paso, TX 79925-3517 - Phone
- (915) 562-8525
- NPI assigned
- Aug 20, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1337110 | TX | Primary |
Addresses
Primary practice location
6358 Edgemere Blvd
El Paso, TX 79925-3517
Mailing address
1219 Wagner LN
El Paso, TX 79903-3342
Phone (915) 408-4728
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 |
|---|---|---|---|
| Physiotherapy of El Paso, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
6358 Edgemere Blvd
El Paso, TX 79925
Phone (915) 562-8525
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.
-
dba Spine & Rehab Specialists
- Physical Therapist
- El Paso, TX
- NPI 1124035050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1861004814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 WAGNER LN",
"city": "EL PASO",
"state": "TX",
"postal_code": "799033342",
"telephone_number": "915-408-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6358 EDGEMERE BLVD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253517",
"telephone_number": "915-562-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "MARLENE",
"middle_name": "YVETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1337110",
"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 Aug 20, 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.