Active NPI
Marisela Chilson, PT
- Physical Therapist
- El Paso, TX
National Provider Identifier
1891485876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1242571
- Practice address
- 6611 Boeing Dr
El Paso, TX 79925-1010 - Phone
- (915) 780-6576
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 1242571 | TX | Primary |
Addresses
Primary practice location
6611 Boeing Dr
El Paso, TX 79925-1010
Mailing address
6611 Boeing Dr
El Paso, TX 79925-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1242571 | Other | TX | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1242571 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region 19 Education Service Center | Current | Accepting new patients |
Locations
6611 Boeing Dr
El Paso, TX 79925
Phone (915) 780-6564
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.
-
- Early Intervention Provider Agency
- El Paso, TX
- NPI 1982748646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1891485876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 BOEING DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799251010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 BOEING DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799251010",
"telephone_number": "915-780-6576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILSON",
"first_name": "MARISELA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1242571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1242571",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Children'S Hope Residential Services, Inc.
- Children'S Hope Resiedntial Services, Inc.
- Childrens Grief Center of El Paso
- Michael Raymond Childress, PA
- Emily Senderey Childs
- Chinedu John Ngwudike PLLC
- Chinedum Pediatric Health PA
- Sonchanin Chinsawananon, DDS
- Chinwe Nduka MD Family Practice PA
- Carlos Crispulo Chiong, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.