Organization Active NPI

Piedras Rehabilitation Clinic LLC

  • Rehabilitation Clinic/Center
  • El Paso, TX
National Provider Identifier
1871034751
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PIEDRAS REHABILITATION CLINIC LLC
Practice address
1505 George Dieter Dr Ste 112
El Paso, TX 79936-7680
Phone
(915) 704-4065
Fax
(915) 704-4067
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Lynnette S LomarquezNPI 1477893303
Title
Administrator
Phone
(915) 474-0390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1505 George Dieter Dr Ste 112
El Paso, TX 79936-7680

Mailing address

1505 George Dieter Dr Ste 112
El Paso, TX 79936-7680
Phone (915) 704-4065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170615000095 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3173891132 Practice locations: El Paso, TX
O20220907001851 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3173891132 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

Outpatient physical therapy / speech pathology certification: CCN 676745

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PIEDRAS REHABILITATION CLINIC LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 28, 2017
Last certification
Dec 28, 2017
Ownership / control type
Proprietary
Facility address
1505 George Dieter Dr Ste 112
El Paso, TX 79936

National Provider Directory

National Provider Directory

Locations

1505 George Dieter Dr
Ste 112
El Paso, TX 79936
Phone (915) 474-0390

1351 N Zaragoza Rd
Bldg Q
El Paso, TX 79936
Phone (915) 704-4065

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": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1871034751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 GEORGE DIETER DR STE 112",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367680",
            "telephone_number": "915-704-4065",
            "fax_number": "915-704-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 GEORGE DIETER DR STE 112",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367680",
            "telephone_number": "915-704-4065",
            "fax_number": "915-704-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDRAS REHABILITATION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "LOMARQUEZ",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-474-0390"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.