Active NPI
Josue De la O, PTA
- Physical Therapy Assistant
- McAllen, TX
National Provider Identifier
1891274874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2056048
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2056048 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wee Therapy Service LLC | Single Specialty | Past | 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
- Jorge Luis De la Garza, M.D.
- Julio Cesar De la Garza, PHARMACY TECHNICIAN
- Marissa De la Garza, MSN, APRN, FNP-BC
- Mauricio De la Garza, M.D.
- Velda Nora De la Garza, M.S., R.D.
- Julie De la Rosa, SLP
- Silvia G. De la Rosa, FNP-BC
- Aaron L De la Torre
- Josue De la Torre
- Ana Gabriela De Leon, BS ASSISTANT SLP
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.