Randy P Maestre, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2047876 Issued in TX

Practice address

3022 Trawood Dr
Ste. B
El Paso, TX 79936-4329

Phone

(915) 849-6602

Fax

(915) 849-6603

NPI assigned

Mar 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1891036661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962500",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799962500",
            "telephone_number": "915-849-6602",
            "fax_number": "915-849-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 TRAWOOD DR",
            "address_2": "STE. B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364329",
            "telephone_number": "915-849-6602",
            "fax_number": "915-849-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTRE",
        "first_name": "RANDY",
        "middle_name": "P",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2047876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Maese, FNP-BC, PMHNP
• Daisy Ruth Maese
• Jacqueline Maese
• Victoria Maese, RN
• Vicki Pickle Maestas, LBSW
• Erika Magalde, M.S. CCC-SLP
• Alejandro Magallanes
• Christian David Magallanes, M.D.
• Maribel Magallanes, FNP
• Saul Armando Magallanes, PTA

• Physical Therapy Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.