Individual provider Active NPI

Josue De la O, PTA

  • Physical Therapy Assistant
  • McAllen, TX
National Provider Identifier
1891274874
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2056048 Issued in TX
Practice address
2904 S Jackson Rd
McAllen, TX 78503-1870
Phone
(956) 631-8646
NPI assigned
Aug 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 2056048 TX Primary

Addresses

Primary practice location

2904 S Jackson Rd
McAllen, TX 78503-1870

Mailing address

2904 S Jackson Rd
McAllen, TX 78503-1870
Phone (956) 631-8646

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2056048TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wee Therapy Service LLC Single Specialty PastSince Jun 16, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1891274874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 S JACKSON RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031870",
            "telephone_number": "956-631-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 S JACKSON RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031870",
            "telephone_number": "956-631-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA O",
        "first_name": "JOSUE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2056048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.