Eastside Physiotherapy Clinic

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1147100 Issued in TX

Legal business name

EASTSIDE PHYSIOTHERAPY CLINIC

Practice address

1721 N Lee Trevino Dr Ste B
El Paso, TX 79936-4564

Phone

(915) 590-1910

Fax

(915) 225-6422

NPI assigned

Feb 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurence Juarez

Title

Administrator

Phone

(915) 842-0504

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Eastside Physiotherapy Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gary Grindstaff Dpmpa

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
  • NPI 1619017050
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1861764722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364564",
            "telephone_number": "915-590-1910",
            "fax_number": "915-225-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364564",
            "telephone_number": "915-590-1910",
            "fax_number": "915-225-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE PHYSIOTHERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-842-0504"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1147100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802654-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "P00194843",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastside Doctors' Association, LLC
• Eastside Eye Associates, P.a. (Eastside Eye Associates)
• Eastside Family Care Center PLLC
• Eastside Night Clinic
• Eastside Occmed Center, PA
• Eastside Rehabilitation Medicine & Pain Clinic, PA
• Eastside Rheumatology, PLLC
• Eastside Total Healthcare, LLC
• Eastside Women's Healthcare Center, P.a.
• Easy Healthcare Solutions, Inc. (Breathe Easy)

• Physical Therapy Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.