Individual provider Active NPI

Pius Sodipe, DPT

  • Geriatric Physical Therapist
  • El Paso, TX
National Provider Identifier
1861881484
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
1186008 Issued in TX
Practice address
11199 Pellicano Dr
Suite a
El Paso, TX 79935-5304
Phone
(915) 591-0445
Fax
(915) 591-0443
NPI assigned
Jan 20, 2015
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1186008 TX Primary

Addresses

Primary practice location

11199 Pellicano Dr
Suite a
El Paso, TX 79935-5304

Mailing address

2528 Tierra Negra Dr
El Paso, TX 79938-4451
Phone (915) 626-6120

Other identifiers 1

IdentifierTypeStateIssuer
1186008OtherTXPT LICENSE

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1861881484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 TIERRA NEGRA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384451",
            "telephone_number": "915-626-6120",
            "fax_number": "915-856-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11199 PELLICANO DR",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799355304",
            "telephone_number": "915-591-0445",
            "fax_number": "915-591-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODIPE",
        "first_name": "PIUS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1186008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1186008",
            "state": "TX"
        }
    ],
    "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 Oct 8, 2021; 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.